KIMBERLEY D RUTHERFORD (MD) – Otolaryngology Physician, NPI 1174721138

KIMBERLEY D RUTHERFORD (MD) is a healthcare provider. based in West hartford, Connecticut. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 256192 (MA). The NPI Number for KIMBERLEY D RUTHERFORD (MD) is 1174721138

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEY D RUTHERFORD (MD)
NPI
1174721138
Phone
(860) 586-2111
Address
901 FARMINGTON AVE
Enumeration Date
10 July 2007
Last Update Date
23 May 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8602844950
Graduation Year
2007 (19 years ago)
PAC ID
6305002940
Group Practice PAC ID
4284078296
Professional Enrollment ID
I20161220000640
Address ID
CT060322383FA599XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

160 OTOLARYNGOLOGY in CT

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Provider Addresses for KIMBERLEY D RUTHERFORD (MD)

  • 901, Farmington Avenue, Fernridge Place, West Hartford, Hartford County, Connecticut, 06119, United States

    SUITE 3

    WEST HARTFORD, CT 061191418

    Phone: (860) 586-2111

    Fax: (860) 586-2114

    Type: Mailing

  • 599 FARMINGTON AVE STE 102

    FARMINGTON, CT 060322383

    Phone: (860) 284-4950

    Fax: (860) 284-4951

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: GENZYME CORPORATION ($143).

Total Amount

$224

General + Research + Ownership

Payments

6

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161220000640IOtolaryngologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3932$0
69210Removal of impacted ear wax2117$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
31231Diagnostic exam of nasal passages using an endoscope2018$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 06119)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284078296View full group profile
NameSpecialtyState
Qualified AudiologistCT
Qualified AudiologistGA
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
Qualified AudiologistCT
Qualified AudiologistCT
Physician AssistantCT
O T O L A R Y N G O L O G YCT
Physician AssistantCT

Reviews

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Frequently asked questions

Is there an official ID for KIMBERLEY D RUTHERFORD (MD) in U.S. healthcare records?
The official identifier for KIMBERLEY D RUTHERFORD (MD) is NPI 1174721138.
Is KIMBERLEY D RUTHERFORD (MD) shown as active in public data?
Registry records indicate KIMBERLEY D RUTHERFORD (MD) maintains an active NPI.
What expertise is attributed to KIMBERLEY D RUTHERFORD (MD)?
KIMBERLEY D RUTHERFORD (MD)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is KIMBERLEY D RUTHERFORD (MD) associated with West Hartford?
Public fields place KIMBERLEY D RUTHERFORD (MD) around West Hartford, Connecticut. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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