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Active NPI 1619592953 Individual Practitioner Male Practitioner

Phillip Robert Rutledge , PA

Physician Assistant • Kemmerer, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Phillip Rutledge, PA is a certified Physician Assistant practicing in Kemmerer, WY. With approximately 6 years of clinical experience since graduating from Wake Forest University School Of Medicine in 2020, Phillip Rutledge delivers high-quality medical care to the local community at 711 ONYX ST.

Phillip Rutledge maintains professional affiliations with Draper Dermatology Pc, South Lincoln Hospital District 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

711 Onyx St

Kemmerer, WY 831013214

Telephone 3078774401
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kemmerer, WY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -12.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Kemmerer, WY (263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rutledge (6 Years) 6 Yrs
Kemmerer Specialty Average (18.0 Years) 18.0 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
189 48 $25.56 $5.92
99213 Established patient office or other outpatient visit, typically 15 minutes
185 116 $170.85 $79.60
17003 Destruction of precancer skin growth, 2-14 growths
108 23 $31.86 $1.76
99213 Established patient office or other outpatient visit, typically 15 minutes
101 59 $195.30 $56.64
17000 Destruction of skin growth
80 74 $128.53 $46.44
11102 Tangential biopsy of single skin lesion
51 46 $247.33 $79.21
17000 Destruction of skin growth
38 33 $205.07 $40.65
17110 Destruction of up to 14 skin growths
31 25 $176.56 $100.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
26 26 $156.38 $97.35
17110 Destruction of up to 14 skin growths
25 18 $299.25 $60.16
11102 Tangential biopsy of single skin lesion
23 20 $202.23 $22.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
17 16 $85.00 $49.84
11103 Biopsy of related skin growth, each additional growth
16 13 $137.50 $44.37

Medical Specialties & State Licenses

CMS Verified: 2020-10-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

South Lincoln Hospital District

711 Onyx St, Kemmerer, WY 831013214

Phone: 30787744013115

Draper Dermatology Pc

195 Feather Way, Evanston, WY 829309352

Phone: 8012326556

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1063811867

Doctor of Pharmacy (Pharm.D.)

Parry Davison , CRNA

Nurse Anesthetist, Certified Registered

NPI 1316376189

Certified Registered Nurse Anesthetist

Makayla Wynn , APRN, FNP-C

Nurse Practitioner - Family

NPI 1457135899

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Nathan Whittaker , MD

Emergency Medicine

NPI 1740459338

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address October 26, 2020

Registered at 711 ONYX ST, KEMMERER, WY 831013214 (Tel: 3078774496)

📍
Updated Practice Location August 08, 2020

Registered at 711 ONYX ST, KEMMERER, WY 831013214 (Tel: 3078774401)

NPI Profile Active June 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2020

Registered at 152 S 300 E, PROVIDENCE, UT 843329655 (Tel: 4358902333)

📍
Updated Business Mailing Address June 12, 2020

Registered at 152 S 300 E, PROVIDENCE, UT 843329655 (Tel: 4358902333)

👤
Provider Name / Credentials Updated June 12, 2020

Recorded as PHILLIP RUTLEDGE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 12, 2020

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: 1619592953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2020
Last Update: October 26, 2020
Sole Proprietor: No

Mailing Address

711 Onyx St

Kemmerer, WY 831013214

Phone: 3078774496

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.