KATHERINE RUTHERFORD (MD) – Pediatric Sports Medicine Physician, NPI 1063672228
Pediatric Sports Medicine Physician
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NPPES metrics only — not quality of care.
49 SPORTS MEDICINE in ME
Provider Addresses for KATHERINE RUTHERFORD (MD)
100 GANNETT DR STE C
SOUTH PORTLAND, ME 041065900
Phone: (207) 347-2947
Type: Mailing
50 FODEN RD STE 3
SOUTH PORTLAND, ME 041061718
Phone: (207) 523-8500
Type: Location
9746, Northwest Maring Drive, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States
PORTLAND, ME 041045040
Phone: (207) 791-3888
Fax: (207) 828-7850
Type: Mailing
Martin's Point Health Care, 331, Veranda Street, East Deering, Portland, Cumberland County, Maine, 04103, United States
PORTLAND, ME 041035545
Phone: (207) 828-2402
Fax: (207) 828-2425
Type: Location
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: 2023-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20121115000298 | I | Pediatric Medicine | ME | TBD |
| I20230606003009 | I | Sports Medicine | ME | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 38 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 38 | 30 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 26 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 04106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| Internal Medicine | RI | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| Family Practice | RI | |
| - | ME | |
| - | ME | |
| - | ME |
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