DR. MICHAEL ROBERT RUEBHAUSEN MD
NPI 1942649819
Plastic Surgery in Decatur, IL

Q: What is Michael Ruebhausen's NPI number?

The NPI number for Michael Ruebhausen is 1942649819. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Q: What is Michael Ruebhausen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment

95.01/100

CMS Quality Rating

302 W HAY ST STE 200, DECATUR, IL 62526(217) 545-8000 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Jul 20, 2021, Mar 29, 2021 and 2 more (5 updates tracked since 2019).

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About Dr. Michael Robert Ruebhausen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL ROBERT RUEBHAUSEN MD (NPI 1942649819) is an individual plastic surgery provider in Decatur, Illinois, licensed in Illinois (036148741) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942649819

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. MICHAEL ROBERT RUEBHAUSENCredential: MD

Location Address302 W HAY ST STE 200Decatur, IL 62526-4171

Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000

Phone(217) 545-8000

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2013

Enumeration DateJune 24, 2013

Last NPPES UpdateJuly 11, 20245 updates tracked since enumeration

NPPES CertifiedJuly 11, 2024

✔ NPI 1942649819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in IL · 036148741

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 036148741 (IL)

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 036148741 (IL)

302 W HAY ST STE 200, Decatur, IL 62526

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Secondary Practice Locations 2

Location 1375 N Wall St Ste P420Kankakee, IL 60901-3406 · Phone (815) 932-0911 · Fax (815) 932-0631

Location 2747 N Rutledge St Fl 2Springfield, IL 62702-6700 · Phone (217) 545-7721

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

Dr. Michael Robert Ruebhausen 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 ID648574343

PECOS Enrollment IDI20190718000794

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Ruebhausen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc

37 mi

Endocrinology, Diabetes & Metabolism

201 E MADISON ST STE 328
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
645 clinicians in this Medicare group

NPI 1558385989 (217) 545-8000

Riverside Health System

104 mi

Psychiatry

500 N WALL ST, SUITE 200
Kankakee, IL 60901

Reassigned Medicare billing, Illinois enrollment
381 clinicians in this Medicare group

NPI 1336354430 (815) 937-1237

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 11

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

143 services143 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

136 services103 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

88 services69 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

28 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services21 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

22 services21 patients

Hospital Affiliations CMS Care Compare

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140135

Location2300 North Edward StreetDecatur, IL 62526 · Macon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.02

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLYSON SNYDER NP-C

Nurse Practitioner (Family)

302 W HAY ST STE 200
DECATUR, IL 62526

Macon County (217) 545-8000

JEFFREY LUKE DENNY PA

Physician Assistant

302 W HAY ST STE 200
DECATUR, IL 62526

Macon County (217) 872-2711

DR. RANDY K SULAVER II M.D.

Urology

302 W HAY ST STE 200
DECATUR, IL 62526

Macon County (217) 545-8000

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 Michael Ruebhausen's NPI number?

The NPI number for Michael Ruebhausen is 1942649819. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Michael Ruebhausen located?

Michael Ruebhausen practices at 302 W Hay St Ste 200, Decatur, IL 62526. The listed phone number is (217) 545-8000.

What is Michael Ruebhausen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Michael Ruebhausen enrolled in Medicare?

Yes. Michael Ruebhausen 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 Michael Ruebhausen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ruebhausen reassigns Medicare benefits to 2 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL) and Riverside Health System (Kankakee, IL). 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 Michael Ruebhausen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Ruebhausen affiliated with any hospitals?

According to CMS data, Michael Ruebhausen is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Ruebhausen was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.