DR. CREED MONROE RUCKER (MD) – Diagnostic Radiology Physician, NPI 1760428312
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,175 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. CREED MONROE RUCKER (MD)
1350 Hickory St
Melbourne, FL 329013224
Phone: (321) 434-8544
Type: Location
1350 Hickory St Ste 101
Melbourne, FL 329013224
Phone: (321) 434-8544
Type: Location
410 N State Of Franklin Rd Ste 135B
Johnson City, TN 376046972
Phone: (423) 431-4866
Type: Location
677, North Wilmot Road, Tucson, Pima County, Arizona, 85711, United States
TUCSON, AZ 857112701
Phone: (520) 795-2889
Fax: (520) 795-6321
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,779.
Total Amount is formed as General ($1,779) + Research ($0) + Ownership ($0) = $1,779.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Medtronic, Inc. ($1,640).
Total Amount
$1,779
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,779
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,640 |
| Penumbra, Inc. | $115 |
| Chiesi USA, Inc. | $24 |
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: 2025-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070313000313 | I | Diagnostic Radiology | AZ | TBD |
| I20140501001711 | I | Diagnostic Radiology | FL | TBD |
| I20250505002590 | I | Diagnostic Radiology | TN | TBD |
| I20250731002692 | I | Diagnostic Radiology | VA | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 44,230 | 264 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 8,500 | 84 | $0 |
| 70450 | Ct scan head or brain without contrast | 528 | 499 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 414 | 413 | $0 |
| 70553 | Mri scan of brain before and after contrast | 291 | 286 | $0 |
Insurance plans in this area (ZIP 32901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | AZ | 71250 | CT scan chest | 24 | 24 |
| DIAGNOSTIC RADIOLOGY | AZ | 73630 | X-ray of foot, minimum of 3 views | 17 | 16 |
| DIAGNOSTIC RADIOLOGY | AZ | 74177 | CT scan of abdomen and pelvis with contrast | 53 | 53 |
| DIAGNOSTIC RADIOLOGY | AZ | 76830 | Ultrasound pelvis through vagina | 15 | 15 |
| DIAGNOSTIC RADIOLOGY | AZ | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | LA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| - | TX | |
| Interventional Cardiology, Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Interventional Radiology, Diagnostic Radiology | PA |
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