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Active NPI 1366946899 Individual Practitioner Female Practitioner

Dr. Audrey Kay Rutherford , MD

Dermatology • Centerville, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Audrey Rutherford, MD is a certified Dermatology practicing in Centerville, UT. With approximately 8 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 2018, Dr. Rutherford delivers high-quality medical care to the local community at 1222 W LEGACY CROSSING BLVD STE 200.

Dr. Rutherford is affiliated with Epiphany Dermatology Of Colorado Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1222 W Legacy Crossing Blvd Ste 200

Centerville, UT 840145560

Telephone 8015490570
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Centerville, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Centerville, UT (184 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rutherford (8 Years) 8 Yrs
Centerville Specialty Average (8.0 Years) 8.0 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
17003 Destruction of precancer skin growth, 2-14 growths
220 43 $7.68 $6.19
99213 Established patient office or other outpatient visit, typically 15 minutes
79 63 $108.56 $85.50
17000 Destruction of skin growth
62 50 $79.18 $42.54
17004 Destruction of precancer skin growth, 15 or more growths
43 36 $197.00 $156.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
43 29 $151.37 $121.40
11102 Tangential biopsy of single skin lesion
37 32 $118.14 $83.49
17110 Destruction of up to 14 skin growths
35 31 $144.22 $104.72
11103 Biopsy of related skin growth, each additional growth
30 15 $60.11 $46.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $129.81 $105.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $68.61 $49.82

Medical Specialties & State Licenses

CMS Verified: 2022-09-29
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License UT 12829524-1205

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Epiphany Dermatology Of Colorado Llc

3773 E Cherry Creek N Dr, Denver, CO 802099809

Phone: 3033885629

Epiphany Dermatology Of Colorado Llc

613 25 Rd, Grand Junction, CO 815051590

Phone: 9702451500

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1043836679

Registered Nurse, Family Nurse Practitioner

Stevie-Marie Mullins , PA-C

Physician Assistant

NPI 1760192868

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2022

Dermatology (License #12829524-1205 in UT)

📍
Updated Practice Location June 09, 2022

Registered at 1222 W LEGACY CROSSING BLVD STE 200, CENTERVILLE, UT 840145560 (Tel: 8015490570)

NPI Profile Active March 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2018

Registered at 1721 E 19TH AVE STE 520, DENVER, CO 802181243 (Tel: 3038692278)

📍
Updated Business Mailing Address March 20, 2018

Registered at 114 DEER CREEK DR, ALEDO, TX 760083900 (Tel: 8173048839)

👤
Provider Name / Credentials Updated March 20, 2018

Recorded as AUDREY RUTHERFORD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2018

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: 1366946899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2018
Last Update: September 29, 2022
Sole Proprietor: No

Mailing Address

114 Deer Creek Dr

Aledo, TX 760083900

Phone: 8173048839

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.