TIMOTHY J RUETTEN (MD) – Family Medicine Physician, NPI 1194773499

TIMOTHY J RUETTEN (MD) is a healthcare provider. based in Sycamore, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036087147 (IL). The NPI Number for TIMOTHY J RUETTEN (MD) is 1194773499

Main info

Male
35 Years Of Experience
Name
TIMOTHY J RUETTEN (MD)
NPI
1194773499
Phone
(815) 895-9144
Address
954 WEST STATE STREET
Enumeration Date
5 May 2006
Last Update Date
26 January 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
5890755029
Professional Enrollment ID
I20101030000260
Address ID
IL601781335SY954XXSTXX400

Contacts

Secure Messaging
truetten129480@direct.edward.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

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Provider Addresses for TIMOTHY J RUETTEN (MD)

  • 954, West State Street, Sycamore, Sycamore Township, DeKalb County, Illinois, 60178, United States

    SYCAMORE, IL 60118

    Phone: (815) 895-9144

    Fax: (815) 899-4234

    Mailing address matches the actual address.

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: 2010-10-30

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
I20101030000260IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes341184$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit222222$0
99213Established patient office or other outpatient visit, 20-29 minutes202194$0
G0008Administration of influenza virus vaccine5049$0
99215Established patient office or other outpatient visit, 40-54 minutes3734$0
View full utilization report →

Insurance plans in this area (ZIP 60118)

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Reviews

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Frequently asked questions

Can I cross-check TIMOTHY J RUETTEN (MD) using NPI 1194773499?
NPI 1194773499 belongs to TIMOTHY J RUETTEN (MD); compare other details if you need extra assurance.
Is TIMOTHY J RUETTEN (MD) shown as active in public data?
Registry records indicate TIMOTHY J RUETTEN (MD) maintains an active NPI.
What area of care is associated with TIMOTHY J RUETTEN (MD)?
TIMOTHY J RUETTEN (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is TIMOTHY J RUETTEN (MD) located near Sycamore?
TIMOTHY J RUETTEN (MD) currently maps to Sycamore, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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