TIMOTHY RUTKOSKI (MD) – Internal Medicine Physician, NPI 1861433401

TIMOTHY RUTKOSKI (MD) is a healthcare provider. based in Holland, Michigan. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 4301082035 (MI). The NPI Number for TIMOTHY RUTKOSKI (MD) is 1861433401

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY RUTKOSKI (MD)
NPI
1861433401
Phone
Not provided
Address
3235 N WELLNESS DR
Enumeration Date
8 June 2006
Last Update Date
29 July 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2319350614
Graduation Year
1999 (27 years ago)
PAC ID
4183773195
Group Practice PAC ID
0345218392
Professional Enrollment ID
I20090522000040
Address ID
MI496847760TR3643XSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for TIMOTHY RUTKOSKI (MD)

  • 3235, North Wellness Drive, Holland Charter Township, Ottawa County, Michigan, 49424, United States

    SUITE 120A BLDG A

    HOLLAND, MI 494247264

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 160 Open Payments records for all available years, with a total value of $3,137.

Total Amount is formed as General ($3,137) + Research ($0) + Ownership ($0) = $3,137.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($477).

Total Amount

$3,137

General + Research + Ownership

Payments

160

Total payment records

General Amount

$3,137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2009-05-22

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
I20090522000040IInternal MedicineMITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes18479$0
99214Established patient office or other outpatient visit, 30-39 minutes6249$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5454$0
G0444Annual depression screening, 5 to 15 minutes5050$0
81002Urinalysis, manual test1613$0
View full utilization report →

Insurance plans in this area (ZIP 49424)

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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: 0345218392View full group profile
NameSpecialtyState
-MI
Family PracticeIL
Internal MedicineMI
Internal Medicine, Pediatric MedicineMI
Internal Medicine, Pediatric MedicineMI
Internal Medicine, Pediatric MedicineMI
Internal Medicine, Pediatric MedicineMI

Reviews

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Frequently asked questions

What NPI should I save for TIMOTHY RUTKOSKI (MD)?
Save NPI 1861433401 if you need a stable reference for TIMOTHY RUTKOSKI (MD).
Is TIMOTHY RUTKOSKI (MD)'s NPI currently valid?
The extract we use shows TIMOTHY RUTKOSKI (MD) as active.
Does TIMOTHY RUTKOSKI (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for TIMOTHY RUTKOSKI (MD). Clinical services aligned with this taxonomy classification.
Where does public data place TIMOTHY RUTKOSKI (MD)?
The snapshot lists Holland, Michigan for TIMOTHY RUTKOSKI (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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