GARY M RULL (M.D.) – Internal Medicine Physician, NPI 1154306017

GARY M RULL (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-103169 (IL). The NPI Number for GARY M RULL (M.D.) is 1154306017

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
GARY M RULL (M.D.)
NPI
1154306017
Phone
(217) 545-0182
Address
751 N RUTLEDGE ST
Enumeration Date
13 December 2005
Last Update Date
22 June 2009

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2175458000
Graduation Year
1998 (28 years ago)
PAC ID
5698817468
Group Practice PAC ID
4486667888
Professional Enrollment ID
I20100118000185
Address ID
IL627024968SP751XXSTXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for GARY M RULL (M.D.)

  • 751, North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States

    STE 1100

    SPRINGFIELD, IL 627024909

    Phone: (217) 545-0182

    Fax: (217) 545-4735

    Type: Location

  • PO BOX 19636

    SPRINGFIELD, IL 627949636

    Phone: (217) 545-0182

    Fax: (217) 545-4735

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-18

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
I20100118000185IInternal MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62702)

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Provider's Procedures

GARY M RULL (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL85610Blood test, clotting time8229
INTERNAL MEDICINEIL90670Pneumococcal vaccine for injection into muscle2929

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: 4486667888View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Physician AssistantIL
Clinical Social WorkerIL
Nurse PractitionerIL
-IL
Internal MedicineOK
Family PracticeIL
Family PracticeIL
Nurse PractitionerIL
-IL

Reviews

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Frequently asked questions

What is GARY M RULL (M.D.)'s NPI number?
GARY M RULL (M.D.)'s NPI is 1154306017 — the number used across U.S. healthcare to identify this provider.
Is there an active status for GARY M RULL (M.D.)?
For scheduling context, GARY M RULL (M.D.) is shown as active in the registry.
What area of care is associated with GARY M RULL (M.D.)?
GARY M RULL (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GARY M RULL (M.D.) associated with Springfield?
Public fields place GARY M RULL (M.D.) around Springfield, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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