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Active NPI 1063407013 Individual Practitioner Male Practitioner

Thomas Ruffalo , PA

Physician Assistant • Oconomowoc, WI

Professional Overview & Biography Verified Profile Summary

Thomas Ruffalo, PA is a registered healthcare professional specializing in Physician Assistant in Oconomowoc, WI. Practice services are available at 791 SUMMIT AVE under active NPI credentials.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

791 Summit Ave

Oconomowoc, WI 530663844

Telephone 2625699119
Associated Practice Facility / Clinic
🏢 Lake Country Pharmacy Facility NPI 1184612749

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oconomowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Oconomowoc, WI (3517 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint
36 18 $174.42 $39.05
99213 Established patient office or other outpatient visit, typically 15 minutes
14 13 $96.57 $41.79

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 657-023

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42936300 (WI)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Evgeniya Khen , NP

Nurse Practitioner - Acute Care

NPI 1023790664

Nurse Practitioner

NPI 1114066719

Doctor of Medicine (M.D.)

Dr. Richard Hansen , MD

Internal Medicine - Hematology & Oncology

NPI 1164496162

Doctor of Medicine (M.D.)

Dr. Norhan Mohammed , MD

Internal Medicine - Cardiovascular Disease

NPI 1225487176

Doctor of Medicine (M.D.)

Dr. James Harper , MD

Emergency Medicine

NPI 1922132364

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 791 SUMMIT AVE, OCONOMOWOC, WI 530663844 (Tel: 2625699119)

📍
Updated Business Mailing Address July 08, 2007

Registered at 541 S SAWYER RD, OCONOMOWOC, WI 530669243 (Tel: 2622447693)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS RUFFALO, PA

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

Physician Assistant (License #657-023 in WI)

🟢
Initial NPI Registration & Enumeration September 15, 2005

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: 1063407013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

541 S Sawyer Rd

Oconomowoc, WI 530669243

Phone: 2622447693

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.