DR. ADAM JEFFREY RUPP (DO) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1053940056

DR. ADAM JEFFREY RUPP (DO) is a healthcare provider. based in Sartell, Minnesota. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 9410217 (KS). The NPI Number for DR. ADAM JEFFREY RUPP (DO) is 1053940056

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM JEFFREY RUPP (DO)
NPI
1053940056
Phone
(320) 230-7788
Address
804 23RD ST S
Enumeration Date
2 April 2020
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202197611
Graduation Year
2020 (6 years ago)
PAC ID
2264856210
Group Practice PAC ID
8820008832
Professional Enrollment ID
I20251117000358
Address ID
MN563084652AL519XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

84 PHYSICAL MEDICINE AND REHABILITATION in KS

Provider Addresses for DR. ADAM JEFFREY RUPP (DO)

  • 804 23RD ST S

    SARTELL, MN 563774705

    Phone: (320) 230-7788

    Type: Mailing

  • 3901 RAINBOW BLVD # MS 2027

    KANSAS CITY, KS 661608500

    Phone: (913) 588-6050

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Nevro Corp. ($248).

Total Amount

$248

General + Research + Ownership

Payments

8

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Nevro Corp.$248
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: 2025-11-17

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
I20251117000358IPhysical Medicine And RehabilitationMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56377)

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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: 8820008832View full group profile
NameSpecialtyState
Pain ManagementMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerSD
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerMN
-MN
Interventional Pain ManagementMN
Pain Management, Physical Medicine And RehabilitationMN

Reviews

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Frequently asked questions

Does DR. ADAM JEFFREY RUPP (DO) have a public NPI I can cite?
Public records show DR. ADAM JEFFREY RUPP (DO) under NPI 1053940056.
Does the public listing show DR. ADAM JEFFREY RUPP (DO) as active?
DR. ADAM JEFFREY RUPP (DO)'s NPI record reflects an active status in NPPES.
What type of care does DR. ADAM JEFFREY RUPP (DO) provide?
DR. ADAM JEFFREY RUPP (DO)'s profile centers on Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ADAM JEFFREY RUPP (DO)?
DR. ADAM JEFFREY RUPP (DO) shows a connection to Sartell, Minnesota in registry-derived data.
Who maintains DR. ADAM JEFFREY RUPP (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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