MICHAEL RUCKER – Surgical Physician Assistant, NPI 1164544193

MICHAEL RUCKER is a healthcare provider. based in Oviedo, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA2204 (FL). The NPI Number for MICHAEL RUCKER is 1164544193

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL RUCKER
NPI
1164544193
Phone
(407) 701-4253
Address
4584 OLD CARRIAGE TRL
Enumeration Date
3 April 2007
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4072002700
Graduation Year
1989 (37 years ago)
PAC ID
7719997766
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20060504000547
Address ID
FL327517102MA2600XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for MICHAEL RUCKER

  • 4584 OLD CARRIAGE TRL

    OVIEDO, FL 327658473

    Phone: (407) 701-4253

    Fax: (407) 679-4343

    Type: Location

  • 2415 N ORANGE AVE STE 700

    ORLANDO, FL 328045521

    Phone: (407) 303-2474

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $406.

Total Amount is formed as General ($406) + Research ($0) + Ownership ($0) = $406.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABIOMED ($320).

Total Amount

$406

General + Research + Ownership

Payments

13

Total payment records

General Amount

$406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2006-05-04

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
I20060504000547IPhysician AssistantFLTBD

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
33508Harvest of vein using an endoscope1212$0
33533Coronary artery bypass using artery graft, 1 graft1111$0
View full utilization report →

Insurance plans in this area (ZIP 32765)

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Provider's Procedures

MICHAEL RUCKER performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL33533Heart artery bypass to repair one artery3939

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: 0749186153View full group profile
NameSpecialtyState
H E M A T O L O G YPA
Physician AssistantFL
N E U R O L O G YFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

Does MICHAEL RUCKER have a public NPI I can cite?
Public records show MICHAEL RUCKER under NPI 1164544193.
Quick check: is MICHAEL RUCKER active?
Public NPPES data shows MICHAEL RUCKER with an active NPI status right now.
What does the directory say MICHAEL RUCKER does?
Insurance directories may phrase it differently, but here MICHAEL RUCKER maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MICHAEL RUCKER tied to Oviedo, Florida?
If you are local to Oviedo, Florida, MICHAEL RUCKER may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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