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DR. TIMOTHY N RUDOLPH M.D.
NPI 1982777975
Family Medicine in Hamilton, TX

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
303 N BROWN ST, HAMILTON, TX 76531(254) 386-1700(254) 386-4950 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Timothy N Rudolph M.d. NPPES

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

DR. TIMOTHY N RUDOLPH M.D. (NPI 1982777975) is an individual family medicine provider in Hamilton, Texas, licensed in Texas (M4933) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hamilton General Hospital, and is a graduate of University Of Texas Medical School At Houston (2005).

NPPES Registry Identity

NPI1982777975
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY N RUDOLPHCredential: M.D.
Location Address303 N BROWN STHamilton, TX 76531-1515
Mailing AddressPo Box 633Hamilton, TX 76531-0633 · (254) 386-1700 · Fax (254) 386-4950
Phone(254) 386-1700
Fax(254) 386-4950
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2005
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 8, 2015
✔ NPI 1982777975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M4933
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
303 N BROWN ST, Hamilton, TX 76531
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Timothy N Rudolph 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 ID9931279734
PECOS Enrollment IDI20080605000552
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

5

Medicare enrollment records show Timothy Rudolph reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Practice Associates Of Hamilton Co PA
0.1 mi
Family Medicine
400 N BROWN
Hamilton, TX 76531
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1164582706 (254) 386-1600
Hamilton County Hospital District
0.1 mi
Critical Access
400 N BROWN ST BLDG I
Hamilton, TX 76531
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1326037607 (254) 386-1600
Timothy Rudolph MD PA
0.1 mi
Family Medicine
400 N BROWN ST
Hamilton, TX 76531
  • Reassigned Medicare billing, Texas enrollment
NPI 1932768264 (254) 386-1600
Concord Medical Group PLLC
254 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
254 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

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 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

Hamilton General Hospital

Critical Access Hospitals · Hamilton, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451392
Location400 N Brown, Building 1Hamilton, TX 76531 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76531 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 7

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

MR. MONTE HAROLD HORNE MD
Family Medicine
303 N BROWN ST, BLDG II
HAMILTON, TX 76531
Hamilton County (254) 386-1700
WILLIAM SHALOR CRAIG M.D.
Family Medicine
303 N BROWN ST, ATT: ADMINISTRATION OFFICE
HAMILTON, TX 76531
Hamilton County (254) 386-1700
MR. LUKE MARTIN KILLIAN MD
Family Medicine
303 N BROWN ST
HAMILTON, TX 76531
Hamilton County (254) 386-1700
MRS. ROBBYE KAYE LENGEFELD MD
Family Medicine
303 N BROWN ST
HAMILTON, TX 76531
Hamilton County (254) 386-1700
CHARLES FRANKLIN JOHNSON M.D.
Family Medicine
303 N BROWN ST
HAMILTON, TX 76531
Hamilton County (254) 386-1700
MR. JAMES RANDALL LEE MD
Family Medicine
303 N BROWN ST
HAMILTON, TX 76531
Hamilton County (254) 386-1700
KRISTEN L STEGEMOLLER M.D.
Family Medicine
303 N BROWN ST
HAMILTON, TX 76531
Hamilton County (254) 386-1700

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 Timothy Rudolph's NPI number?

The NPI number for Timothy Rudolph is 1982777975. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Timothy Rudolph located?

Timothy Rudolph practices at 303 N Brown St, Hamilton, TX 76531. The listed phone number is (254) 386-1700.

What is Timothy Rudolph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Rudolph enrolled in Medicare?

Yes. Timothy Rudolph 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 Timothy Rudolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Rudolph reassigns Medicare benefits to 5 organizations: Family Practice Associates Of Hamilton Co PA (Hamilton, TX), Hamilton County Hospital District (Hamilton, TX), Timothy Rudolph MD PA (Hamilton, TX), Concord Medical Group PLLC (Lubbock, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). 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 Timothy Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Rudolph accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Timothy Rudolph 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 Timothy Rudolph affiliated with any hospitals?

According to CMS data, Timothy Rudolph is affiliated with Hamilton General Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Rudolph was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.