STINA JENNIFER RUDDELL (P.A.) – Medical Physician Assistant, NPI 1770876302
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for STINA JENNIFER RUDDELL (P.A.)
900 CAIRO RD
THOMASVILLE, GA 317924255
Phone: (229) 227-5158
Type: Mailing
1090 5TH ST SE
CAIRO, GA 398283139
Phone: (229) 377-1100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $2,571.
Total Amount is formed as General ($2,571) + Research ($0) + Ownership ($0) = $2,571.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($517).
Total Amount
$2,571
General + Research + Ownership
Payments
102
Total payment records
General Amount
$2,571
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $517 |
| Regeneron Healthcare Solutions, Inc. | $281 |
| PFIZER INC. | $265 |
| Amgen Inc. | $236 |
| Janssen Biotech, Inc. | $210 |
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: 2011-06-29
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 |
|---|---|---|---|---|
| I20110629000744 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,859 | 437 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 965 | 722 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 630 | 503 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 139 | 120 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 134 | 116 | $0 |
Insurance plans in this area (ZIP 31792)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | GA | 90670 | Pneumococcal vaccine for injection into muscle | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Diagnostic Radiology | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Allergy/Immunology | GA | |
| General Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA |
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