LOUIS GRAHAM RUCKER (MD) – Vascular Surgery Physician, NPI 1558867796
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
303 VASCULAR SURGERY in OH
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Provider Addresses for LOUIS GRAHAM RUCKER (MD)
21 CARMARTHEN WAY
GRANVILLE, OH 430231092
Phone: (740) 644-1914
Type: Mailing
Good Samaritan Hospital, 375, Dixmyth Avenue, Clifton, Cincinnati, Hamilton County, Ohio, 45220, United States
CINCINNATI, OH 452202475
Phone: (513) 862-3562
Type: Location
2809 W WATERS AVE
TAMPA, FL 336141852
Phone: (133) 489-0888
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $2,349.
Total Amount is formed as General ($2,349) + Research ($0) + Ownership ($0) = $2,349.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Silk Road Medical, Inc. ($1,528).
Total Amount
$2,349
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,349
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $1,528 |
| AngioDynamics, Inc. | $225 |
| Boston Scientific Corporation | $168 |
| W. L. Gore & Associates, Inc. | $138 |
| Philips North America LLC | $83 |
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: 2023-08-24
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 |
|---|---|---|---|---|
| I20230824002736 | I | Vascular Surgery | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 20 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 14 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 43023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| General Surgery, General Practice | FL | |
| Vascular Surgery | TN | |
| Vascular Surgery, General Surgery | FL | |
| Vascular Surgery | FL | |
| Vascular Surgery | FL | |
| Vascular Surgery | FL | |
| - | FL |
Reviews
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