BRADLEY H RUTTEN (PAC) – Physician Assistant, NPI 1770559239
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for BRADLEY H RUTTEN (PAC)
HealthPartners Central Minnesota Clinics, 2251, Connecticut Avenue South, Sartell, Stearns County, Minnesota, 56377, United States
SARTELL, MN 563772486
Phone: (320) 253-5220
Fax: (320) 203-2113
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 12 Open Payments records for all available years, with a total value of $194.
Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($49).
Total Amount
$194
General + Research + Ownership
Payments
12
Total payment records
General Amount
$194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $49 |
| Phadia US Inc. | $35 |
| Lundbeck LLC | $32 |
| Seqirus USA Inc | $20 |
| SANOFI-AVENTIS U.S. LLC | $17 |
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: 2007-12-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071212000151 | I | Physician Assistant | MN | 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 | 248 | 157 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 186 | 121 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 153 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 71 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 64 | 64 | $0 |
Insurance plans in this area (ZIP 56377)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MN | |
| Registered Dietitian Or Nutrition Professional | MN | |
| Nurse Practitioner | ND | |
| Family Practice | MN | |
| Physician Assistant | MN | |
| General Surgery | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Family Practice, Obstetrics/Gynecology | MN |
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