DR. MADISON MOORE RUELLE (O.D.) – Optometrist, NPI 1609280429

DR. MADISON MOORE RUELLE (O.D.) is a healthcare provider. based in Shawnee, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1989 (KS). The NPI Number for DR. MADISON MOORE RUELLE (O.D.) is 1609280429

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MADISON MOORE RUELLE (O.D.)
NPI
1609280429
Phone
(913) 268-9190
Address
15951 W 65TH ST
Enumeration Date
19 June 2014
Last Update Date
7 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9132618327
Graduation Year
2014 (12 years ago)
PAC ID
8628296514
Group Practice PAC ID
2668547621
Professional Enrollment ID
I20140908001042
Address ID
KS660619507OL18208STXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for DR. MADISON MOORE RUELLE (O.D.)

  • 15951 W 65TH ST

    SHAWNEE, KS 662179342

    Phone: (913) 268-9190

    Fax: (913) 268-2654

    Type: Mailing

  • 12490 QUIVIRA RD

    APT. 2322

    OVERLAND PARK, KS 662132414

    Phone: (785) 220-9191

    Type: Mailing

  • 5150 ROE BLVD

    VISION CENTER

    ROELAND PARK, KS 662052359

    Phone: (913) 403-9018

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($72).

Total Amount

$105

General + Research + Ownership

Payments

5

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (985 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
I20140908001042IOptometryKS2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
92014Established patient complete exam of visual system7470$0
66984Removal of cataract with insertion of prosthetic lens2815$0
92004New patient complete exam of visual system2121$0
View full utilization report →

Insurance plans in this area (ZIP 66217)

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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: 2668547621View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YMO
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YMO

Reviews

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Frequently asked questions

Is there an official ID for DR. MADISON MOORE RUELLE (O.D.) in U.S. healthcare records?
The official identifier for DR. MADISON MOORE RUELLE (O.D.) is NPI 1609280429.
Is DR. MADISON MOORE RUELLE (O.D.) still an active registrant?
DR. MADISON MOORE RUELLE (O.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. MADISON MOORE RUELLE (O.D.)?
DR. MADISON MOORE RUELLE (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MADISON MOORE RUELLE (O.D.)?
Directory geography for DR. MADISON MOORE RUELLE (O.D.) centers on Shawnee, Kansas.
When was this NPI issued?
Enumeration for DR. MADISON MOORE RUELLE (O.D.) is noted as June 19, 2014 where the registry provides it.

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