BRIAN RUTLEDGE (M.D.) – Gastroenterology Physician, NPI 1245658202

BRIAN RUTLEDGE (M.D.) is a healthcare provider. based in Troy, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301105717 (MI). The NPI Number for BRIAN RUTLEDGE (M.D.) is 1245658202

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN RUTLEDGE (M.D.)
NPI
1245658202
Phone
(313) 745-4525
Address
1560 E MAPLE RD STE 400
Enumeration Date
6 April 2014
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9563654400
Graduation Year
2013 (13 years ago)
PAC ID
5294036190
Group Practice PAC ID
3274624937
Professional Enrollment ID
I20220614001079
Address ID
TX785503227HA512XXLNXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

648 GASTROENTEROLOGY in MI

Provider Addresses for BRIAN RUTLEDGE (M.D.)

  • 1560 E MAPLE RD STE 400

    TROY, MI 480831135

    Phone: (313) 745-4525

    Type: Mailing

  • 4201 Saint Antoine St

    Suite 2E

    Detroit, MI 482012153

    Phone: (313) 745-4525

    Type: Location

  • 4201 SAINT ANTOINE ST STE 5C

    DETROIT, MI 482012153

    Phone: (313) 577-5030

    Fax: (313) 745-4707

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,931.

Total Amount is formed as General ($1,931) + Research ($0) + Ownership ($0) = $1,931.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Wilson Cook Medical Incorporated ($624).

Total Amount

$1,931

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,931

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2022-06-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170714000351IHospitalistMITBD
I20220614001079IGastroenterologyTXTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope104101$0
99204New patient office or other outpatient visit, 45-59 minutes8787$0
99213Established patient office or other outpatient visit, 20-29 minutes7974$0
99214Established patient office or other outpatient visit, 30-39 minutes7769$0
45380Biopsy of large bowel using a flexible endoscope5858$0
View full utilization report →

Insurance plans in this area (ZIP 48083)

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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: 3274624937View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
G A S T R O E N T E R O L O G YTX
Physician AssistantTX
Internal MedicineTX
Colorectal Surgery (Proctology), General SurgeryTX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find BRIAN RUTLEDGE (M.D.)'s NPI?
You can confirm BRIAN RUTLEDGE (M.D.) with NPI 1245658202; it appears in the national provider directory.
Is BRIAN RUTLEDGE (M.D.) currently active in the NPI registry?
CMS-published data lists BRIAN RUTLEDGE (M.D.) as an active registrant.
What kind of provider is BRIAN RUTLEDGE (M.D.)?
The page reflects Gastroenterology Physician for BRIAN RUTLEDGE (M.D.). Clinical services aligned with this taxonomy classification.
Does BRIAN RUTLEDGE (M.D.) practice in Michigan?
You will see Troy, Michigan on file for BRIAN RUTLEDGE (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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