RUBY MARIE-NORTHRUP (DO) – Family Medicine Physician, NPI 1063570620
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
752 INTERNAL MEDICINE in NE
Provider Addresses for RUBY MARIE-NORTHRUP (DO)
6911 VAN DORN ST STE 1
LINCOLN, NE 68506
Phone: (402) 484-5656
Fax: (402) 484-5741
Type: Location
6041 VILLAGE DR STE 110
LINCOLN, NE 685165774
Phone: (402) 484-5656
Fax: (402) 484-5741
Type: Mailing
6911, Van Dorn Street, Lincoln, Lancaster County, Nebraska, 68506, United States
STE 1
LINCOLN, NE 685066801
Phone: (402) 484-5656
Fax: (402) 484-5741
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,096.
Total Amount is formed as General ($1,096) + Research ($0) + Ownership ($0) = $1,096.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($430).
Total Amount
$1,096
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,096
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $430 |
| Novo Nordisk Inc | $249 |
| Astellas Pharma US Inc | $237 |
| Actelion Pharmaceuticals US, Inc. | $55 |
| PFIZER INC. | $21 |
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: 2010-05-14
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 |
|---|---|---|---|---|
| I20100514000458 | I | Internal Medicine | NE | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,980 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 511 | 243 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 243 | 243 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 242 | 242 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 225 | 141 | $0 |
Insurance plans in this area (ZIP 68506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | NE | 85610 | Blood test, clotting time | 127 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE |
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