LAWRENCE ANDREW RUDOLF MD
NPI 1932693629
Family Medicine in Festus, MO
About Lawrence Andrew Rudolf Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAWRENCE ANDREW RUDOLF MD (NPI 1932693629) is an individual family medicine provider in Festus, Missouri, licensed in Missouri (2020041808) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of Saint Louis University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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
Lawrence Andrew Rudolf 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 Reassignment
Medicare enrollment records show Lawrence Rudolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- 228 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 10
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Jefferson
Acute Care Hospitals · Festus, MOMercy Hospital South
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lawrence Rudolf's NPI number?
The NPI number for Lawrence Rudolf is 1932693629. It was assigned to this individual provider in the NPPES registry on June 18, 2018. The provider is also known as Larry Andrew Rudolf MD.
Where is Lawrence Rudolf located?
Lawrence Rudolf practices at 1500 Calvary Church Rd Ste B, Festus, MO 63028. The listed phone number is (636) 933-2900.
What is Lawrence Rudolf's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lawrence Rudolf enrolled in Medicare?
Yes. Lawrence Rudolf 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 organization bills Medicare for Lawrence Rudolf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Rudolf reassigns Medicare benefits to Mercy Clinic East Communities (Saint Louis, MO). The 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 Lawrence Rudolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lawrence Rudolf accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Lawrence Rudolf 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 Lawrence Rudolf affiliated with any hospitals?
According to CMS data, Lawrence Rudolf is affiliated with Mercy Hospital Jefferson and Mercy Hospital South.
When was this NPI record last updated?
The NPPES record for Lawrence Rudolf was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Lawrence Andrew Rudolf, MD · NPI 1932693629
Family Medicine physician in Festus, Missouri. Individual provider, active in the CMS NPPES registry since June 18, 2018.
## Identity
- **NPI:** 1932693629 (Entity type: Individual)
- **Enumerated:** June 18, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2020041808 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 CALVARY CHURCH RD STE B, Festus, MO 63028-4125
- **Phone:** (636) 933-2900 · **Fax:** (636) 933-8017
## 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:** Mercy Clinic East Communities (NPI 1720635329, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1932693629) · Data from the CMS NPPES public registry.