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SHANE RUCKLE MD
NPI 1932133907
Emergency Medicine in Philadelphia, PA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
800 SPRUCE ST, 2 CATHCART, PHILADELPHIA, PA 19107(215) 829-3264 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Jul 23, 2024 (2 updates tracked since 2024).

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 Osf Sacred Heart Medical Center, and maintains a secondary practice location in Rice Lake.

NPPES Registry Identity

NPI1932133907
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHANE RUCKLECredential: MD
Location Address800 SPRUCE ST, 2 CATHCARTPhiladelphia, PA 19107-6130
Mailing Address3624 Market St, Suite 560wPhiladelphia, PA 19104-2614 · (215) 662-2286 · Fax (215) 615-0500
Phone(215) 829-3264
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1996
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1932133907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD067927L✔ Licensed in NY · 241661✔ Licensed in TX · V1699✔ Licensed in WI · 4490
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
800 SPRUCE ST, Philadelphia, PA 19107
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Secondary Practice Location 1

Location 11700 W Stout StRice Lake, WI 54868-5000 · Phone (715) 236-4450

Other Identifiers 1

Medicaid001769535PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5698715969
PECOS Enrollment IDI20241104001715, I20241113002591, I20250523000811, I20250924003254
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140093
Location812 N Logan AveDanville, IL 61832 · Vermilion County
Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190026
Location211 4th StreetAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

Physician 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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JENNA SNYDER MD
Obstetrics & Gynecology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (856) 803-3694
MR. ANTHONY JOHN CORDISCO
Student in an Organized Health Care Education/Training Program
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 316-5151
PEDRO GONZALEZ-ALEGRE MD
Psychiatry & Neurology (Neurology)
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
CATRINA JONES CRNA
Nurse Anesthetist, Certified Registered
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
KATHLEEN M VELOSO MD
Anesthesiology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
MICHELLE RAE HALVORSEN CRNP
Nurse Practitioner (Neonatal)
800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3301
MOHAMMAD M SARHAN MD
Hospitalist
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410
NEEPA SHAH MD
Internal Medicine
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410

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.

What insurance does Shane Ruckle accept?

Health plans from 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 Osf Sacred Heart Medical Center, Pikeville Medical Center, Rapides Regional Medical Center, Chippewa County War Memorial 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 2 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.