MR. JACOB B. RUTHSTROM M.D.
NPI 1992970628
Emergency Medicine in Olathe, KS

Q: What is Jacob Ruthstrom's NPI number?

The NPI number for Jacob Ruthstrom is 1992970628. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Q: What is Jacob Ruthstrom's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Ruthstrom was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment

86.88/100

CMS Quality Rating

20333 W 151ST ST, OLATHE, KS 66061(913) 791-4357(913) 381-0979 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jacob B. Ruthstrom M.d. NPPES

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

MR. JACOB B. RUTHSTROM M.D. (NPI 1992970628) is an individual emergency medicine provider in Olathe, Kansas, licensed in Kansas (0434990) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Olathe Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2008).

NPPES Registry Identity

NPI1992970628

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMR. JACOB B. RUTHSTROMCredential: M.D.

Location Address20333 W 151ST STOlathe, KS 66061-5350

Mailing AddressPo Box 716Overland Park, KS 66201-0716 · (913) 642-4900

Phone(913) 791-4357

Fax(913) 381-0979

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2008

Enumeration DateApril 23, 2008

Last NPPES UpdateMay 2, 2017

✔ NPI 1992970628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in KS · 0434990

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.

20333 W 151ST ST, Olathe, KS 66061

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Other Identifiers 5

Medicaid1992970628MO

Other45666017KS · Coventry

Other45666017KS · Bcbskc

Other9304670KS · Aetna

Medicare PINK54000016KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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

Mr. Jacob B. Ruthstrom 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 ID7719164201

PECOS Enrollment IDI20110609000651, I20120222000515

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 4

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 high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

286 services272 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.

214 services201 patients

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.

70 services70 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

54 services53 patients

Hospital Affiliations CMS Care Compare

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

Olathe Medical Center

Acute Care Hospitals · Olathe, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170049

Location20333 West 151st StreetOlathe, KS 66061 · Johnson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66061 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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.

86.88/100

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

Scored as part of a group practice

Quality

77.46

Promoting Interoperability

100

Improvement Activities

Cost

57.71

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.

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