Active NPI 1477083103 Individual Practitioner Female Practitioner

Leann M Ruch

Nurse Practitioner • Des Moines, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Leann Ruch is a certified Nurse Practitioner practicing in Des Moines, IA. With approximately 9 years of clinical experience since completing medical education in 2017, Leann Ruch delivers high-quality medical care to the local community at 6520 SE 14TH ST.

Leann Ruch is affiliated with Iowa Physicians Clinic Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, insertion of needle into vein for collection of blood sample, remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6520 Se 14th St

Des Moines, IA 503201846

Telephone 5152661199

Associated Practice Facility / Clinic

🏢 Pleasant Hill Family Practice, Pc Facility NPI 1821143207

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Des Moines, IA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +0.1 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

147 Specialists

Practicing in Des Moines, IA (1307 Statewide)

Telehealth Adoption Rate

13.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ruch (9 Years) 9 Yrs

Des Moines Specialty Average (8.9 Years) 8.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	309	34	$145.53	$49.24
36415 Insertion of needle into vein for collection of blood sample	287	133	$9.00	$8.57
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	260	26	$127.23	$35.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	121	$237.00	$100.20
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	203	25	$112.78	$38.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	112	78	$20.00	$7.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$302.00	$101.98
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	75	59	$39.00	$13.02
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	60	20	$110.70	$37.62
81003 Automated urinalysis test	43	33	$6.00	$2.20
G0008 Administration of influenza virus vaccine	40	40	$58.00	$29.94
90662 Influenza vaccine split virus, preservative free	36	36	$98.00	$81.82
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$168.00	$71.39
93000 Routine ekg using at least 12 leads including interpretation and report	30	23	$43.93	$10.84
90480 Admn sarscov2 vacc 1 dose	27	24	$58.93	$39.93
91322 Sarscov2 vac 50 mcg/0.5ml im	27	24	$297.78	$154.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	23	$334.00	$137.43
71046 X-ray of chest, 2 views	25	19	$52.00	$20.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	358	142	$8.48	$8.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	119	$242.53	$101.09
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	186	46	$144.00	$49.35
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	130	32	$122.65	$38.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$299.00	$101.93
99213 Established patient office or other outpatient visit, typically 15 minutes	99	77	$171.48	$71.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	96	70	$20.00	$7.61
G0008 Administration of influenza virus vaccine	47	46	$57.74	$28.57
81003 Automated urinalysis test	36	25	$6.00	$2.20
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	36	22	$112.00	$38.17
90662 Influenza vaccine split virus, preservative free	36	36	$91.00	$71.93
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	35	35	$43.00	$14.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	23	$339.45	$141.81
93000 Routine ekg using at least 12 leads including interpretation and report	27	21	$45.00	$11.27
71046 X-ray of chest, 2 views	25	23	$53.00	$21.19
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	23	12	$109.00	$37.36
90480 Admn sarscov2 vacc 1 dose	22	22	$83.00	$38.08
91322 Sarscov2 vac 50 mcg/0.5ml im	22	22	$292.00	$143.00
0124A Fee covid-19 vac 13 res	11	11	$83.00	$38.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$29.00	$21.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	346	154	$8.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	126	$244.00	$102.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$311.00	$104.30
99213 Established patient office or other outpatient visit, typically 15 minutes	98	79	$172.00	$71.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	86	70	$23.00	$7.63
G0008 Administration of influenza virus vaccine	50	49	$50.00	$27.42
90662 Influenza vaccine split virus, preservative free	43	42	$85.00	$68.31
81003 Automated urinalysis test	37	33	$7.00	$2.22
0124A Fee covid-19 vac 13 res	30	30	$80.00	$36.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	23	$343.00	$144.32
71046 X-ray of chest, 2 views	20	19	$54.00	$21.28
93000 Routine ekg using at least 12 leads including interpretation and report	20	18	$45.00	$11.27
G0009 Administration of pneumococcal vaccine	18	18	$50.00	$27.47
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$467.00	$278.72
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	16	16	$80.00	$36.38
99495 Transitional care management services for problem of at least moderate complexity	14	12	$488.00	$165.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$398.00	$132.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	137	$228.00	$104.44
36415 Insertion of needle into vein for collection of blood sample	162	95	$8.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	67	55	$160.00	$73.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$290.00	$106.47
G0008 Administration of influenza virus vaccine	49	49	$49.00	$15.88
90662 Influenza vaccine split virus, preservative free	43	43	$78.00	$63.44
0003A Adm sarscov2 30mcg/0.3ml 3rd	41	41	$80.00	$37.36
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	26	$23.00	$7.77
93000 Routine ekg using at least 12 leads including interpretation and report	24	21	$43.00	$11.75
81003 Automated urinalysis test	18	15	$7.00	$2.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$150.00	$117.81
G0009 Administration of pneumococcal vaccine	15	15	$49.00	$15.88
71046 X-ray of chest, 2 views	14	14	$50.00	$20.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$318.00	$135.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	378	146	$8.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	124	$207.00	$87.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	138	92	$23.00	$7.61
99213 Established patient office or other outpatient visit, typically 15 minutes	115	85	$141.00	$59.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	94	94	$276.00	$93.03
G0008 Administration of influenza virus vaccine	52	51	$48.00	$15.44
81003 Automated urinalysis test	41	33	$7.00	$2.19
90662 Influenza vaccine split virus, preservative free	36	35	$86.00	$60.64
93000 Routine ekg using at least 12 leads including interpretation and report	27	24	$42.00	$13.45
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$34.00	$17.40
G0010 Administration of hepatitis b vaccine	16	12	$48.00	$15.70
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	16	12	$175.00	$130.61
99441 Telephone medical discussion with physician, 5-10 minutes	14	12	$85.00	$35.87
G0009 Administration of pneumococcal vaccine	12	12	$48.00	$14.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	367	153	$8.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	136	$207.00	$85.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	123	87	$22.00	$8.43
99213 Established patient office or other outpatient visit, typically 15 minutes	88	60	$141.00	$57.76
G0008 Administration of influenza virus vaccine	53	53	$48.00	$15.44
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	39	39	$34.00	$18.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$276.00	$92.05
81003 Automated urinalysis test	34	32	$6.00	$2.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$277.00	$115.89
93000 Routine ekg using at least 12 leads including interpretation and report	21	18	$42.00	$12.92
90662 Influenza vaccine split virus, preservative free	16	16	$86.00	$54.73
G0009 Administration of pneumococcal vaccine	16	16	$48.00	$15.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$132.00	$111.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	160	$198.85	$85.36
36415 Insertion of needle into vein for collection of blood sample	185	117	$11.18	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	143	115	$131.00	$57.92
85048 Automated white blood cell count	82	64	$16.78	$3.07
71046 X-ray of chest, 2 views	58	50	$48.09	$16.40
81003 Automated urinalysis test	48	38	$11.06	$2.71
93000 Routine ekg using at least 12 leads including interpretation and report	43	41	$58.40	$13.32
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	11	$58.50	$16.22
83036 Hemoglobin A1C level	22	21	$32.32	$11.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$272.60	$115.69
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	20	17	$17.00	$4.29
85018 Blood count, hemoglobin	19	15	$10.47	$2.87
G0008 Administration of influenza virus vaccine	16	16	$48.00	$18.94
99496 Transitional care management services for problem of high complexity	16	16	$530.56	$185.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$216.50	$92.77
90662 Influenza vaccine split virus, preservative free	13	13	$86.00	$52.30
69209 Removal of impacted ear wax by washing	12	11	$31.25	$10.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	51	$125.00	$56.86
36415 Insertion of needle into vein for collection of blood sample	25	23	$20.00	$2.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$190.00	$72.41
85048 Automated white blood cell count	20	20	$28.00	$3.24

Medical Specialties & State Licenses

CMS Verified: 2024-12-05

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA A134449

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IA A134449

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Arnp License

A134449 (IA)

Hospital & Practice Group Affiliations

Iowa Physicians Clinic Medical Foundation

6520 Se 14th St, Des Moines, IA 503201846

Phone: 5159531500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Alice Kerr , ARNP

Nurse Practitioner

NPI 1144221318

Advanced Registered Nurse Practitioner

Dr. Timothy Vermillion , DO

Family Medicine

NPI 1528059086

Doctor of Osteopathic Medicine (D.O.)

Dr. Ekaterina Roman , MD

Family Medicine

NPI 1538276894

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2024

Nurse Practitioner (License #A134449 in IA)

📍

Updated Practice Location July 14, 2021

Registered at 6520 SE 14TH ST, DES MOINES, IA 503201846 (Tel: 5152661199)

📍

Updated Business Mailing Address July 14, 2021

Registered at 6520 SE 14TH ST, DES MOINES, IA 503201846 (Tel: 5159531500)

👤

Provider Name / Credentials Updated July 14, 2021

Recorded as LEANN RUCH

✅

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2017

Registered at 1205 COPPER CREEK DR, PLEASANT HILL, IA 503277002 (Tel: 5152661199)

📍

Updated Business Mailing Address June 15, 2017

Registered at 1205 COPPER CREEK DRIVE, PLEASANT HILL, IA 50327 (Tel: 5152661199)

👤

Provider Name / Credentials Updated June 15, 2017

Recorded as LEANN NELSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Nurse Practitioner (License #A134449 in IA)

🟢

Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477083103

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2017

Last Update: December 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6520 Se 14th St

Des Moines, IA 503201846

Phone: 5159531500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.