DR. PAUL MICHAEL RUTKOWSKI (D.O.) – Internal Medicine Physician, NPI 1003078254

DR. PAUL MICHAEL RUTKOWSKI (D.O.) is a healthcare provider. based in Duryea, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS015467 (PA). The NPI Number for DR. PAUL MICHAEL RUTKOWSKI (D.O.) is 1003078254

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL MICHAEL RUTKOWSKI (D.O.)
NPI
1003078254
Phone
(570) 457-4952
Address
25 BLACKBERRY LN
Enumeration Date
30 June 2008
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5708838360
Graduation Year
2006 (20 years ago)
PAC ID
0840321741
Professional Enrollment ID
I20120503000303
Address ID
PA186411452DU526XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

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Provider Addresses for DR. PAUL MICHAEL RUTKOWSKI (D.O.)

  • Blackberry Lane, Blueberry Hill Estates, Duryea, Luzerne County, Pennsylvania, 18642, United States

    DURYEA, PA 186421144

    Phone: (570) 457-4952

    Type: Mailing

  • Wilkes-Barre General Hospital, 575, North River Street, North End, Wilkes-Barre, Luzerne County, Pennsylvania, 18764, United States

    WILKES BARRE, PA 187640999

    Phone: (570) 552-4450

    Type: Location

  • 575 N River St

    Wilkes Barre, PA 187640999

    Phone: (570) 552-4450

    Type: Location

  • 526 MAIN ST

    DUPONT, PA 186411452

    Phone: (570) 883-8360

    Fax: (570) 883-8362

    Type: Location

  • PO BOX 1388

    KINGSTON, PA 187040379

    Phone: (570) 288-8881

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 189 Open Payments records for all available years, with a total value of $157,670.

Total Amount is formed as General ($157,670) + Research ($0) + Ownership ($0) = $157,670.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: CSL Plasma Inc. ($156,875).

Total Amount

$157,670

General + Research + Ownership

Payments

189

Total payment records

General Amount

$157,670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-05-03

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
I20120503000303IInternal MedicinePATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes620158$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes46590$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4544$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and2925$0
99238Hospital discharge day management, 30 minutes or less2723$0
View full utilization report →

Insurance plans in this area (ZIP 18642)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. PAUL MICHAEL RUTKOWSKI (D.O.)'s NPI?
Yes. DR. PAUL MICHAEL RUTKOWSKI (D.O.) is listed with NPI 1003078254 in the public NPI dataset.
Can I rely on DR. PAUL MICHAEL RUTKOWSKI (D.O.) being an active provider?
As of the registry snapshot, DR. PAUL MICHAEL RUTKOWSKI (D.O.) is marked active.
What is DR. PAUL MICHAEL RUTKOWSKI (D.O.) best known for clinically?
Directory data describes DR. PAUL MICHAEL RUTKOWSKI (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PAUL MICHAEL RUTKOWSKI (D.O.)?
DR. PAUL MICHAEL RUTKOWSKI (D.O.)'s geographic hint is Duryea, Pennsylvania in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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