DR. MARY E RUPP (MD) – Family Medicine Physician, NPI 1528066156

DR. MARY E RUPP (MD) is a healthcare provider. based in Brighton, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301063298 (MI). The NPI Number for DR. MARY E RUPP (MD) is 1528066156

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY E RUPP (MD)
NPI
1528066156
Phone
(810) 202-7115
Address
322 W GRAND RIVER AVE
Enumeration Date
8 July 2005
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
5395656771
Group Practice PAC ID
2466351440
Professional Enrollment ID
I20040217000370
Address ID
MI481147005BR2305XDRXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. MARY E RUPP (MD)

  • 322 W GRAND RIVER AVE

    BRIGHTON, MI 481161655

    Phone: (810) 202-7115

    Fax: (810) 225-7774

    Type: Mailing

  • 200, West Grand River Avenue, Brighton, Livingston County, Michigan, 48116, United States

    BRIGHTON, MI 481161647

    Phone: (810) 225-7773

    Fax: (810) 225-7774

    Type: Mailing

  • West Grand River Avenue, Brighton, Livingston County, Michigan, 48116, United States

    BRIGHTON, MI 481161647

    Phone: (810) 225-7773

    Fax: (810) 225-7774

    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: 2004-02-17

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
I20040217000370IFamily PracticeMITBD

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 minutes439247$0
36415Insertion of needle into vein for collection of blood sample193153$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit125125$0
99213Established patient office or other outpatient visit, 20-29 minutes125107$0
81002Urinalysis, manual test4834$0
View full utilization report →

Insurance plans in this area (ZIP 48116)

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Provider's Procedures

DR. MARY E RUPP (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI81002Urinalysis, manual test2925

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: 2466351440View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
Interventional RadiologyMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Physician AssistantMI
-MI
-MI
Internal Medicine, Geriatric MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Hospitalist, Internal MedicineMI

Reviews

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Frequently asked questions

Can I verify DR. MARY E RUPP (MD) with an NPI only?
You can start verification with NPI 1528066156 for DR. MARY E RUPP (MD), then check state licensing separately.
Does the file indicate DR. MARY E RUPP (MD) is practicing under active NPI?
Directory data currently reports DR. MARY E RUPP (MD) as active.
What is DR. MARY E RUPP (MD)'s specialty?
The listing groups DR. MARY E RUPP (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARY E RUPP (MD) on a map?
Expect Brighton, Michigan as a primary anchor for DR. MARY E RUPP (MD) unless the record lists multiple sites.
Is the information about DR. MARY E RUPP (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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