Active NPI 1265543227 Individual Practitioner Male Practitioner

Dr. John Justin Ruffini , MD

Ophthalmology • Ridley Park, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Ruffini, MD is a certified Ophthalmology practicing in Ridley Park, PA. With approximately 43 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1983, Dr. Ruffini delivers high-quality medical care to the local community at 8 MORTON AVE.

Dr. Ruffini is affiliated with Starer Rizzo Ruffini Ophthalmic Associates, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8 Morton Ave
Suite 101

Ridley Park, PA 190782210

Telephone 6105212111

Fax 6105213048

Associated Practice Facility / Clinic

🏢 Health Access Network Facility NPI 1437367489

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Ridley Park, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs Matches City Avg

City Avg: 43.0 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Ridley Park, PA (1152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ruffini (43 Years) 43 Yrs

Ridley Park Specialty Average (43.0 Years) 43.0 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	403	378	$190.00	$132.11
92014 Established patient complete exam of visual system	288	286	$180.00	$129.66
99213 Established patient office or other outpatient visit, typically 15 minutes	285	229	$130.00	$93.88
92134 Imaging of retina	114	105	$80.00	$41.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$225.00	$172.49
92250 Photography of the retina	95	92	$90.00	$38.20
92020 Examination of cornea and iris using lens device and slit lamp	42	42	$60.00	$28.18
92083 Exam of visual field with extended testing	39	39	$100.00	$65.49
66821 Removal of recurring cataract in lens capsule using a laser	37	28	$1000.00	$334.91
92133 Imaging of optic nerve	33	33	$80.00	$34.67
92136 Measurement of corneal curvature and depth of eye	31	22	$126.58	$41.28
66984 Removal of cataract with insertion of lens	29	19	$1200.00	$551.81
76514 Ultrasound scan of cornea to determine thickness	22	22	$80.00	$11.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$175.00	$115.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	341	341	$180.00	$133.71
99213 Established patient office or other outpatient visit, typically 15 minutes	301	225	$130.00	$95.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	257	$190.00	$134.38
92134 Imaging of retina	127	114	$80.00	$42.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$225.00	$176.06
92136 Measurement of corneal curvature and depth of eye	52	39	$105.69	$40.06
66984 Removal of cataract with insertion of lens	47	32	$1200.00	$571.07
92250 Photography of the retina	46	46	$90.00	$39.72
92020 Examination of cornea and iris using lens device and slit lamp	43	43	$60.00	$29.22
92083 Exam of visual field with extended testing	41	40	$100.00	$66.78
92133 Imaging of optic nerve	39	37	$80.00	$36.01
66821 Removal of recurring cataract in lens capsule using a laser	37	30	$1000.00	$354.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.00	$116.22
76514 Ultrasound scan of cornea to determine thickness	13	13	$80.00	$11.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	431	422	$180.00	$134.63
99213 Established patient office or other outpatient visit, typically 15 minutes	229	185	$130.00	$96.16
92012 Established patient problem focused exam of visual system	149	120	$130.00	$95.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$225.00	$177.57
92250 Photography of the retina	113	113	$90.00	$39.26
92134 Imaging of retina	113	99	$80.00	$43.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	97	$190.00	$133.92
92136 Measurement of corneal curvature and depth of eye	96	75	$115.31	$42.89
66984 Removal of cataract with insertion of lens	92	64	$1200.00	$572.58
92020 Examination of cornea and iris using lens device and slit lamp	55	55	$60.00	$29.69
66821 Removal of recurring cataract in lens capsule using a laser	52	44	$1000.00	$356.36
92083 Exam of visual field with extended testing	44	43	$100.00	$65.67
92133 Imaging of optic nerve	34	33	$80.00	$35.55
76514 Ultrasound scan of cornea to determine thickness	18	18	$80.00	$11.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$90.00	$60.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$175.00	$119.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	592	574	$179.59	$137.51
92012 Established patient problem focused exam of visual system	199	144	$129.87	$97.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$224.67	$181.12
92136 Measurement of corneal curvature and depth of eye	98	70	$126.49	$49.22
99213 Established patient office or other outpatient visit, typically 15 minutes	91	83	$130.00	$97.88
92250 Photography of the retina	88	88	$90.00	$42.68
66984 Removal of cataract with insertion of lens	78	55	$1200.00	$586.44
92134 Imaging of retina	67	60	$80.00	$44.56
92020 Examination of cornea and iris using lens device and slit lamp	50	50	$60.00	$30.17
66821 Removal of recurring cataract in lens capsule using a laser	44	39	$1000.00	$353.46
92083 Exam of visual field with extended testing	40	38	$100.00	$69.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	21	$90.00	$60.94
92133 Imaging of optic nerve	34	33	$80.00	$37.21
76514 Ultrasound scan of cornea to determine thickness	21	21	$80.00	$12.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$175.00	$121.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	524	493	$145.00	$136.58
92012 Established patient problem focused exam of visual system	207	171	$105.00	$96.03
66984 Removal of cataract with insertion of lens	77	52	$1200.00	$594.49
92136 Measurement of corneal curvature and depth of eye	74	55	$112.86	$51.22
92134 Imaging of retina	50	43	$80.00	$44.49
92020 Examination of cornea and iris using lens device and slit lamp	48	48	$60.00	$29.96
66821 Removal of recurring cataract in lens capsule using a laser	35	25	$1000.00	$364.44
92083 Exam of visual field with extended testing	30	30	$100.00	$68.74
92250 Photography of the retina	25	25	$90.00	$49.14
92133 Imaging of optic nerve	24	24	$80.00	$37.16
92004 New patient complete exam of visual system	18	18	$175.00	$163.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$190.00	$177.28
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$90.00	$81.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$125.00	$116.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	748	676	$145.00	$134.96
92012 Established patient problem focused exam of visual system	309	213	$105.00	$94.55
66984 Removal of cataract with insertion of lens	127	81	$1200.00	$685.06
92136 Measurement of corneal curvature and depth of eye	112	79	$115.93	$55.49
92250 Photography of the retina	62	54	$79.84	$47.62
92020 Examination of cornea and iris using lens device and slit lamp	61	60	$60.00	$29.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$190.00	$175.92
92134 Imaging of retina	56	53	$80.00	$43.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$125.00	$116.31
92083 Exam of visual field with extended testing	44	44	$100.00	$68.93
66821 Removal of recurring cataract in lens capsule using a laser	39	34	$1000.00	$358.69
92133 Imaging of optic nerve	34	34	$80.00	$36.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$125.00	$116.12
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$90.00	$79.42
76514 Ultrasound scan of cornea to determine thickness	21	21	$80.00	$13.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$240.00	$220.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	750	671	$144.07	$133.73
92012 Established patient problem focused exam of visual system	336	216	$103.84	$93.04
92136 Measurement of corneal curvature and depth of eye	147	93	$110.53	$58.03
66984 Removal of cataract with insertion of lens	146	91	$1200.00	$684.38
92250 Photography of the retina	78	67	$78.46	$52.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$188.92	$175.39
92020 Examination of cornea and iris using lens device and slit lamp	57	57	$60.00	$28.36
92134 Imaging of retina	49	44	$80.00	$44.25
92083 Exam of visual field with extended testing	48	48	$104.17	$68.69
92133 Imaging of optic nerve	43	42	$89.77	$37.14
66821 Removal of recurring cataract in lens capsule using a laser	37	31	$1000.00	$354.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$124.59	$115.69
76514 Ultrasound scan of cornea to determine thickness	24	24	$80.00	$15.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$125.00	$114.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	795	703	$135.00	$126.67
92012 Established patient problem focused exam of visual system	288	198	$95.00	$87.45
66984 Removal of cataract with insertion of lens	183	112	$1200.00	$650.55
92136 Measurement of corneal curvature and depth of eye	178	116	$108.60	$61.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$176.49	$165.75
92020 Examination of cornea and iris using lens device and slit lamp	64	64	$60.00	$27.41
92134 Imaging of retina	62	55	$82.90	$41.94
66821 Removal of recurring cataract in lens capsule using a laser	55	50	$1000.00	$339.34
92250 Photography of the retina	55	49	$80.18	$58.55
92083 Exam of visual field with extended testing	45	42	$106.67	$66.48
92133 Imaging of optic nerve	34	32	$100.00	$35.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$119.79	$111.29
76514 Ultrasound scan of cornea to determine thickness	14	14	$80.00	$15.18
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$80.00	$74.66

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License PA MD040917E

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001637554001 (PA)

Commercial Insurance / Payer ID Rr Medicare

180010184

Commercial Insurance / Payer ID Cigna

6424863B

Commercial Insurance / Payer ID Oxford

P531346

Commercial Insurance / Payer ID Ibc

193899 (PA)

Commercial Insurance / Payer ID Davis Vision

36784002

Commercial Insurance / Payer ID Multiplan

P50682013

Commercial Insurance / Payer ID Keystone Mercy Health Pla

31269B (PA)

Commercial Insurance / Payer ID Aetna

413119

Commercial Insurance / Payer ID Ibc/keystone Hmo

009153600 (PA)

Hospital & Practice Group Affiliations

Starer Rizzo Ruffini Ophthalmic Associates, P.c.

1510 Chester Pike Baldwin Towers, Eddystone, PA 190221471

Phone: 6105212111

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. John Rizzo , MD

Ophthalmology

NPI 1164518742

Doctor of Medicine (M.D.)

Dr. Andrea Mcguinness , MD

Ophthalmology

NPI 1538240700

Doctor of Medicine (M.D.)

Dr. Fernando Arteaga , OD

Optometrist

NPI 1700945805

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 24, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2009

Registered at 8 MORTON AVE, SUITE 101, RIDLEY PARK, PA 190782210 (Tel: 6105212111)

📍

Updated Business Mailing Address June 24, 2009

Registered at 8 MORTON AVE, SUITE 101, RIDLEY PARK, PA 190782210 (Tel: 6105212111)

👤

Provider Name / Credentials Updated June 24, 2009

Recorded as JOHN RUFFINI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2009

Ophthalmology (License #MD040917E in PA)

🟢

Initial NPI Registration & Enumeration August 31, 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: 1265543227

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: June 24, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8 Morton Ave, Suite 101

Ridley Park, PA 190782210

Phone: 6105212111

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

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