DR. CASEY JAMES RUCKER (MD) – Emergency Medicine Physician, NPI 1770614992

DR. CASEY JAMES RUCKER (MD) is a healthcare provider. based in West linn, Oregon. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 15680 (OR). The NPI Number for DR. CASEY JAMES RUCKER (MD) is 1770614992

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY JAMES RUCKER (MD)
NPI
1770614992
Phone
(503) 636-1446
Address
2429 WOODHAVEN CT
Enumeration Date
8 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5412698111
Graduation Year
1987 (39 years ago)
PAC ID
7214822949
Group Practice PAC ID
6608056171
Professional Enrollment ID
I20040220000133
Address ID
OR974202125CO1775XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

824 EMERGENCY MEDICINE in OR

Provider Addresses for DR. CASEY JAMES RUCKER (MD)

  • 2429 WOODHAVEN CT

    WEST LINN, OR 970681908

    Phone: (503) 636-1446

    Type: Mailing

  • 1001 PROVIDENCE DRIVE

    PNMC EMERGENCY DEPARTMENT

    NEWBERG, OR 97132

    Phone: (503) 537-1785

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040220000133IEmergency MedicineORTBD
I20100323000835IFamily PracticeWATBD

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
99285Emergency department visit with high level of medical decision making124121$0
99284Emergency department visit with moderate level of medical decision making115107$0
99291Critical care, first 30-74 minutes1717$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 97068)

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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: 6608056171View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineWI
Emergency MedicineNH
Family Practice, Emergency MedicineNC
Physician AssistantOR
Emergency MedicineIL
Emergency MedicineIN
Emergency MedicineTN
-OR

Reviews

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Frequently asked questions

Is there an official ID for DR. CASEY JAMES RUCKER (MD) in U.S. healthcare records?
The official identifier for DR. CASEY JAMES RUCKER (MD) is NPI 1770614992.
Would DR. CASEY JAMES RUCKER (MD) appear as active to a payer?
You can treat DR. CASEY JAMES RUCKER (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. CASEY JAMES RUCKER (MD)?
DR. CASEY JAMES RUCKER (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. CASEY JAMES RUCKER (MD) associated with West Linn?
Public fields place DR. CASEY JAMES RUCKER (MD) around West Linn, Oregon. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. CASEY JAMES RUCKER (MD) is noted as March 8, 2007 where the registry provides it.

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