Active NPI 1407917875 Individual Practitioner Male Practitioner

Dr. William Garth Rudolph , MD

Colon & Rectal Surgery • Virginia Beach, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Rudolph, MD is a certified Colon & Rectal Surgery practicing in Virginia Beach, VA. With approximately 31 years of clinical experience since graduating from University Of California, San Francisco School Of Medicine in 1995, Dr. Rudolph delivers high-quality medical care to the local community at 1080 FIRST COLONIAL RD.

Dr. Rudolph is affiliated with Sentara Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1080 First Colonial Rd
Suite 200

Virginia Beach, VA 234542406

Telephone 7573956070

Fax 7573956381

Associated Practice Facility / Clinic

🏢 Mid-Atlantic Womens Care Plc Facility NPI 1851339246

Medicare Profile & Education

Medical School

University Of California, San Francisco School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Virginia Beach, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -2.5 yrs vs City Avg

City Avg: 33.5 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Virginia Beach, VA (54 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rudolph (31 Years) 31 Yrs

Virginia Beach Specialty Average (33.5 Years) 33.5 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$256.88	$132.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	44	$188.11	$97.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	38	$95.00	$49.63
99213 Established patient office or other outpatient visit, typically 15 minutes	45	35	$127.80	$65.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$158.62	$81.18
46600 Diagnostic examination of the anus using an endoscope	23	20	$80.35	$41.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$250.00	$130.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$151.00	$79.06
46260 Removal of multiple hemorrhoid groups	13	13	$929.69	$485.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$262.78	$132.06
99213 Established patient office or other outpatient visit, typically 15 minutes	69	55	$121.57	$65.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$162.08	$81.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	39	$90.53	$49.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	42	$182.94	$96.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	24	$153.76	$78.56
46600 Diagnostic examination of the anus using an endoscope	31	27	$98.26	$40.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$263.40	$129.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$269.00	$142.08
46260 Removal of multiple hemorrhoid groups	15	15	$970.40	$481.94
45380 Biopsy of large bowel using an endoscope	12	12	$688.00	$166.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$351.45	$179.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$260.00	$135.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	54	$80.00	$38.18
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$103.90	$67.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	45	$160.18	$98.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$154.00	$83.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	35	$147.00	$69.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$276.00	$131.68
46600 Diagnostic examination of the anus using an endoscope	30	28	$124.00	$41.08
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	19	19	$2752.00	$1258.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$340.00	$184.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$224.00	$146.48
46260 Removal of multiple hemorrhoid groups	12	12	$980.00	$495.19
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	12	12	$3741.00	$1861.81

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	71	57	$159.00	$100.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	48	$80.00	$38.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$260.00	$136.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	40	$147.00	$70.52
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$103.00	$67.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$155.49	$84.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$276.00	$132.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$340.00	$185.88
46600 Diagnostic examination of the anus using an endoscope	21	18	$124.00	$40.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$228.06	$147.50
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$205.00	$100.67
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	11	11	$387.00	$180.57

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	65	52	$159.00	$80.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	42	$147.00	$72.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$260.00	$132.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	40	$80.00	$40.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$154.00	$77.30
99213 Established patient office or other outpatient visit, typically 15 minutes	42	35	$103.00	$52.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$276.00	$140.41
46600 Diagnostic examination of the anus using an endoscope	18	17	$124.00	$42.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$340.00	$172.50
15860 Injection of agent into vein to assess blood flow of skin graft or flap	17	17	$221.00	$59.55
45380 Biopsy of large bowel using an endoscope	15	15	$688.00	$183.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$408.00	$205.95
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	11	11	$2752.00	$1408.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	115	76	$86.00	$39.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	70	$144.00	$73.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$327.00	$129.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	53	$213.00	$79.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	57	$403.00	$203.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$215.00	$76.64
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$145.00	$51.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$411.00	$164.00
46600 Diagnostic examination of the anus using an endoscope	20	20	$177.00	$41.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$295.24	$111.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$273.00	$137.71
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	13	13	$3689.00	$1911.08
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	13	13	$2709.00	$1384.36
15860 Injection of agent into vein to assess blood flow of skin graft or flap	12	12	$225.00	$73.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	103	62	$86.00	$38.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$327.00	$128.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	45	$213.00	$78.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$215.00	$76.19
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$145.00	$51.03
46600 Diagnostic examination of the anus using an endoscope	33	30	$177.00	$41.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$411.00	$167.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$273.00	$135.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$403.00	$201.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$288.00	$110.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$144.00	$72.36
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	11	11	$3177.00	$1304.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	118	77	$86.00	$38.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$215.00	$75.69
99213 Established patient office or other outpatient visit, typically 15 minutes	63	57	$145.00	$50.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$327.00	$128.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	38	$213.00	$77.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$411.00	$167.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$273.00	$135.11
46600 Diagnostic examination of the anus using an endoscope	28	28	$177.00	$40.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$403.00	$200.15
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$149.00	$50.13
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	17	17	$4166.40	$1785.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$144.00	$71.32
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	17	17	$2919.35	$1373.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$288.00	$109.94
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$29.00	$8.39
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	11	11	$381.00	$178.46

Medical Specialties & State Licenses

CMS Verified: 2024-10-15

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License VA 0101241931

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101241931

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

79622011 (CO)

Hospital & Practice Group Affiliations

Sentara Medical Group

830 Kempsville Rd, Norfolk, VA 235023920

Phone: 7572618860

Sentara Medical Group

2025 Glenn Mitchell Dr, Virginia Beach, VA 234560178

Phone: 7575074123

Sentara Medical Group

850 Kempsville Rd, Norfolk, VA 235023920

Sentara Medical Group

1060 1st Colonial Rd, Virginia Bch, VA 234543002

Phone: 7573952323

Sentara Medical Group

1080 1st Colonial Rd, Virginia Beach, VA 234542406

Sentara Medical Group

1060 1st Colonial Rd, Virginia Beach, VA 234543002

Phone: 7573956116

Sentara Medical Group

2075 Glenn Mitchell Dr, Virginia Beach, VA 234560179

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Laurence Enderson , MD

Surgery

NPI 1093752354

Doctor of Medicine (M.D.)

Kiriaki Anthis , ACNPC-AG

Nurse Practitioner - Acute Care

NPI 1144756909

ACNPCAG

Dr. Laura Sample , MD

Family Medicine

NPI 1245319599

Doctor of Medicine (M.D.)

Dr. Donald Jenkins , MD

Surgery

NPI 1306045570

Doctor of Medicine (M.D.)

Rebecca Cohen , LPC

Counselor - Professional

NPI 1891305611

Licensed Professional Counselor

Dr. Leanelle Goldstein , MD

Surgery - Surgical Critical Care

NPI 1902854540

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2014

Registered at 1080 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 234542406 (Tel: 7573956070)

📍

Updated Business Mailing Address March 31, 2014

Registered at 1080 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 234542406 (Tel: 7573956070)

👤

Provider Name / Credentials Updated March 31, 2014

Recorded as WILLIAM RUDOLPH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Surgery (License #0101241931 in VA)

🟢

Initial NPI Registration & Enumeration December 12, 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: 1407917875

Entity Type:

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

Enumeration Date: December 12, 2006

Last Update: October 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1080 First Colonial Rd, Suite 200

Virginia Beach, VA 234542406

Phone: 7573956070

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.