DR. GUSTAVE THEODORE RUCKERT M.D.
NPI 1962574806
Obstetrics & Gynecology in Rochester, NY

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
990 SOUTH AVE, SUITE 103, ROCHESTER, NY 14620(585) 232-3210(585) 232-4657 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Gustave Theodore Ruckert M.d. NPPES

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

DR. GUSTAVE THEODORE RUCKERT M.D. (NPI 1962574806) is an individual obstetrics & gynecology provider in Rochester, New York, licensed in New York (114643) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1971).

NPPES Registry Identity

NPI1962574806
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. GUSTAVE THEODORE RUCKERTCredential: M.D.
Location Address990 SOUTH AVE, SUITE 103Rochester, NY 14620-2740
Mailing Address990 South Ave, Suite 103Rochester, NY 14620-2740 · (585) 232-3210 · Fax (585) 232-4657
Fax(585) 232-4657
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1971
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1962574806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 114643
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
990 SOUTH AVE, Rochester, NY 14620

Other Names 1

Other Name (5)Dr. G. Theodore Ruckert M.d.

Other Identifiers 3

Medicare UPINF66855NY
Medicaid00471843NY
Medicare ID-Type Unspecified37150DNY · Medicare I.d. Number

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

Dr. Gustave Theodore Ruckert M.d. 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 ID6406023308
PECOS Enrollment IDI20120118000015
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

Obstetrics & Gynecology
990 SOUTH AVE, SUITE 315
ROCHESTER, NY 14620
Obstetrics & Gynecology
990 SOUTH AVE, SUITE 104
ROCHESTER, NY 14620
Obstetrics & Gynecology
990 SOUTH AVE, SUITE 104A
ROCHESTER, NY 14620
Obstetrics & Gynecology
990 SOUTH AVE, SUITE 103
ROCHESTER, NY 14620
Surgery (Vascular Surgery)
990 SOUTH AVE, STE 210
ROCHESTER, NY 14620
Obstetrics & Gynecology
990 SOUTH AVE, SUITE 104
ROCHESTER, NY 14620
Physician Assistant
990 SOUTH AVE
ROCHESTER, NY 14620
Internal Medicine
990 SOUTH AVE, SUITE 207
ROCHESTER, NY 14620

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 Gustave Ruckert's NPI number?

The NPI number for Gustave Ruckert is 1962574806. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Dr. G. Theodore Ruckert M.D..

Where is Gustave Ruckert located?

Gustave Ruckert practices at 990 South Ave Suite 103, Rochester, NY 14620. The listed phone number is (585) 232-3210.

What is Gustave Ruckert's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gustave Ruckert enrolled in Medicare?

Yes. Gustave Ruckert 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.

Is Gustave Ruckert affiliated with any hospitals?

According to CMS data, Gustave Ruckert is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gustave Ruckert was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.