MR. MICHAEL II RUCKER (PA-C) – Surgical Physician Assistant, NPI 1083107965
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. MICHAEL II RUCKER (PA-C)
1824 KING ST
STE 200
JACKSONVILLE, FL 32204
Phone: (904) 384-3343
Fax: (904) 400-6671
Type: Location
1893, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
STE A
ORANGE PARK, FL 32073
Phone: (904) 592-4940
Fax: (904) 400-6673
Type: Location
1824, King Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States
STE 200
JACKSONVILLE, FL 32204
Phone: (904) 384-3343
Fax: (904) 400-6671
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $2,143.
Total Amount is formed as General ($2,143) + Research ($0) + Ownership ($0) = $2,143.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Getinge USA Sales, LLC ($989).
Total Amount
$2,143
General + Research + Ownership
Payments
43
Total payment records
General Amount
$2,143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Getinge USA Sales, LLC | $989 |
| Edwards Lifesciences Corporation | $365 |
| ATRICURE, INC. | $230 |
| ABIOMED | $204 |
| AstraZeneca Pharmaceuticals LP | $115 |
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: 2018-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181206001899 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 54 | 41 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 49 | 49 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 35 | 35 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 32204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery | FL | |
| Vascular Surgery | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Vascular Surgery | FL | |
| Thoracic Surgery, Cardiac Surgery | GA | |
| Nurse Practitioner | FL | |
| Physician Assistant | TX | |
| Thoracic Surgery, Cardiac Surgery | GA | |
| Physician Assistant | FL |
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