Active NPI 1508942285 Individual Practitioner Male Practitioner

Dr. Theodore Mark Rutledge , MD

Internal Medicine • Ada, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Rutledge, MD is a certified Internal Medicine practicing in Ada, OK. With approximately 35 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 1991, Dr. Rutledge delivers high-quality medical care to the local community at 1921 STONECIPHER DR.

Dr. Rutledge is affiliated with Chickasaw Nation Division Of Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1921 Stonecipher Dr

Ada, OK 748203439

Telephone 5804363980

Fax 5804216283

Associated Practice Facility / Clinic

🏢 Chickasaw Nation Division Of Health Facility NPI 1396923280

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ada, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +8.2 yrs vs City Avg

City Avg: 26.8 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

26 Specialists

Practicing in Ada, OK (1179 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rutledge (35 Years) 35 Yrs

Ada Specialty Average (26.8 Years) 26.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	158	$260.00	$89.99
99213 Established patient office or other outpatient visit, typically 15 minutes	131	87	$260.00	$60.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	26	$533.00	$134.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$71.00	$7.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$161.00	$49.07

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	404	169	$260.00	$91.45
99213 Established patient office or other outpatient visit, typically 15 minutes	129	88	$243.88	$61.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	31	$533.00	$128.10
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	12	$71.00	$7.70

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	296	143	$260.00	$92.35
99213 Established patient office or other outpatient visit, typically 15 minutes	267	141	$180.00	$63.79
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	39	12	$118.99	$36.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$173.42	$34.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	140	$179.86	$65.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	96	$260.00	$96.02
99442 Telephone medical discussion with physician, 11-20 minutes	81	57	$119.93	$65.27
99441 Telephone medical discussion with physician, 5-10 minutes	80	51	$47.16	$34.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	41	$150.54	$34.70
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	18	$118.99	$38.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$160.01	$49.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99441 Telephone medical discussion with physician, 5-10 minutes	268	122	$47.00	$25.27
99213 Established patient office or other outpatient visit, typically 15 minutes	171	103	$179.00	$50.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	50	$260.00	$76.77
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	32	28	$68.70	$12.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	21	$150.25	$25.25
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	14	12	$78.00	$12.65
99441 Telephone medical discussion with physician, 5-10 minutes	13	11	$47.00	$25.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$160.01	$50.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$140.00	$25.28

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	275	135	$260.00	$76.28
99213 Established patient office or other outpatient visit, typically 15 minutes	143	84	$179.00	$49.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	42	$533.00	$107.68

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	81	75	$260.00	$75.40
99213 Established patient office or other outpatient visit, typically 15 minutes	60	47	$179.00	$49.88
99213 Established patient office or other outpatient visit, typically 15 minutes	51	49	$179.00	$49.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$260.00	$76.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$533.00	$107.59

Medical Specialties & State Licenses

CMS Verified: 2024-07-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AR E5021

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Chickasaw Nation Division Of Health

1438 Hardcastle Blvd, Purcell, OK 730808233

Phone: 4055274700

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joshua Mayo , DDS

Dentist

NPI 1003170887

Doctor of Dental Surgery

Akilah Dunn , APRN-CNP

Nurse Practitioner - Family

NPI 1003505033

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Lucretia Barker , MD

Obstetrics & Gynecology

NPI 1003817172

Doctor of Medicine (M.D.)

Tanya Hatter

Pharmacy Technician

NPI 1013088616

Travis Teel , PA

Physician Assistant

NPI 1013210830

Physician Assistant

Laura Byous-Schaefer , APRN-CNM

Midwife

NPI 1013509728

APRNCNM

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 10, 2024

Registered at 1921 STONECIPHER DR, ADA, OK 748203439 (Tel: 5804363980)

📍

Updated Business Mailing Address July 10, 2024

Registered at 1925 WARRIOR WAY, ADA, OK 748203491 (Tel: 5804214570)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1019 W CYPRESS ST, ROGERS, AR 727564204 (Tel: 4796366551)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1019 W CYPRESS ST, ROGERS, AR 727564204 (Tel: 4796366551)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE RUTLEDGE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #E5021 in AR)

🟢

Initial NPI Registration & Enumeration October 27, 2006

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: 1508942285

Entity Type:

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

Enumeration Date: October 27, 2006

Last Update: July 10, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1925 Warrior Way

Ada, OK 748203491

Phone: 5804214570

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.