TIMOTHY MARK RUFF (MD) – Surgery Physician, NPI 1629016753

TIMOTHY MARK RUFF (MD) is a healthcare provider. based in Jerseyville, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 036127379 (IL). The NPI Number for TIMOTHY MARK RUFF (MD) is 1629016753

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY MARK RUFF (MD)
NPI
1629016753
Phone
(618) 498-2101
Address
390 MAPLE SUMMIT RD
Enumeration Date
2 June 2006
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6184986402
Graduation Year
1998 (28 years ago)
PAC ID
8921902008
Group Practice PAC ID
4587650445
Professional Enrollment ID
I20120726000042
Address ID
IL620522028JE400XXRDXX400

Contacts

Secure Messaging
TRuff@jch.cernerdirect.com
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

1,423 GENERAL SURGERY in IL

Provider Addresses for TIMOTHY MARK RUFF (MD)

  • 390 MAPLE SUMMIT RD

    JERSEYVILLE, IL 620522000

    Phone: (618) 498-2101

    Fax: (618) 498-2787

    Type: Location

  • 400 Maple Summit Rd

    Jerseyville, IL 620522028

    Phone: (618) 639-4325

    Fax: (618) 639-7998

    Type: Location

  • 9409, Holy Cross Lane, Breese, Clinton County, Illinois, 62230, United States

    BREESE, IL 622303510

    Phone: (615) 948-2999

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $806.

Total Amount is formed as General ($806) + Research ($0) + Ownership ($0) = $806.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Organogenesis Inc. ($124).

Total Amount

$806

General + Research + Ownership

Payments

42

Total payment records

General Amount

$806

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

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: 2012-07-26

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
I20120726000042IGeneral SurgeryILTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less22535$0
99213Established patient office or other outpatient visit, 20-29 minutes202102$0
99214Established patient office or other outpatient visit, 30-39 minutes10064$0
99215Established patient office or other outpatient visit, 40-54 minutes5239$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4516$0
View full utilization report →

Insurance plans in this area (ZIP 62052)

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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: 4587650445View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-NY
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Cardiovascular Disease (Cardiology)MO
G A S T R O E N T E R O L O G YMO
-NC
-IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

Where can patients find TIMOTHY MARK RUFF (MD)'s NPI?
You can confirm TIMOTHY MARK RUFF (MD) with NPI 1629016753; it appears in the national provider directory.
Does this profile mean TIMOTHY MARK RUFF (MD) is currently active?
Yes — TIMOTHY MARK RUFF (MD) appears active in the national provider directory.
What field does TIMOTHY MARK RUFF (MD) work in?
You can think of TIMOTHY MARK RUFF (MD) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Does TIMOTHY MARK RUFF (MD) practice in Illinois?
You will see Jerseyville, Illinois on file for TIMOTHY MARK RUFF (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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