SHANE RUCKLE MD
NPI 1932133907
Emergency Medicine in Philadelphia, PA
About Shane Ruckle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE RUCKLE MD (NPI 1932133907) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD067927L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains a secondary practice location in Rice Lake.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shane Ruckle Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
16Medicare enrollment records show Shane Ruckle reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Amsterdam, NY 12010
- Reassigned Medicare billing, New York enrollment
- 64 clinicians in this Medicare group
Amsterdam, NY 12010
- Reassigned Medicare billing, New York enrollment
- 65 clinicians in this Medicare group
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 579 clinicians in this Medicare group
Horse Cave, KY 42749
- Reassigned Medicare billing, Kentucky enrollment
- 643 clinicians in this Medicare group
Kincheloe, MI 49788
- Reassigned Medicare billing, Michigan enrollment
- 185 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- 83 clinicians in this Medicare group
Juneau, WI 53039
- Reassigned Medicare billing, Wisconsin enrollment
- 1,447 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pikeville Medical Center
Acute Care Hospitals · Pikeville, KYRapides Regional Medical Center
Acute Care Hospitals · Alexandria, LAChippewa County War Memorial Hospital
Acute Care Hospitals · Sault Sainte Marie, MITwelve Clans Unity Hospital
Acute Care Hospitals · Winnebago, NEAdventhealth Central Texas
Acute Care Hospitals · Killeen, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shane Ruckle's NPI number?
The NPI number for Shane Ruckle is 1932133907. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Shane Ruckle located?
Shane Ruckle practices at 800 Spruce St 2 Cathcart, Philadelphia, PA 19107. The listed phone number is (215) 829-3264.
What is Shane Ruckle's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shane Ruckle enrolled in Medicare?
Yes. Shane Ruckle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shane Ruckle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Ruckle reassigns Medicare benefits to 16 organizations: Upstate Ny Physician PLLC (Amsterdam, NY), Wajeeh Sana Physician PC (Amsterdam, NY), Pikeville Medical Center Inc. (Pikeville, KY), Owensboro Health Medical Group Inc (Horse Cave, KY), Mymichigan Medical Center Sault (Kincheloe, MI) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Ruckle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shane Ruckle accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CareSource list Shane Ruckle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shane Ruckle affiliated with any hospitals?
According to CMS data, Shane Ruckle is affiliated with Pikeville Medical Center, Rapides Regional Medical Center, Chippewa County War Memorial Hospital, Twelve Clans Unity Hospital and Adventhealth Central Texas.
When was this NPI record last updated?
The NPPES record for Shane Ruckle was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shane Ruckle, MD · NPI 1932133907
Emergency Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1932133907 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD067927L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 SPRUCE ST, 2 CATHCART, Philadelphia, PA 19107-6130
- **Phone:** (215) 829-3264
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Upstate Ny Physician PLLC (NPI 1487484523, Amsterdam, NY); Wajeeh Sana Physician PC (NPI 1700643830, Amsterdam, NY); Pikeville Medical Center Inc. (NPI 1710207865, Pikeville, KY); Owensboro Health Medical Group Inc (NPI 1891177556, Horse Cave, KY); Mymichigan Medical Center Sault (NPI 1851434419, Kincheloe, MI); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas Tech University Health Science Center School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** May 29, 2026
- **Other identifiers:** Medicaid 001769535 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1932133907) · Data from the CMS NPPES public registry.