SHANE RUCKLE (MD) – Emergency Medicine Physician, NPI 1932133907
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,391 EMERGENCY MEDICINE in PA
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Provider Addresses for SHANE RUCKLE (MD)
3624, Market Street, Powelton Village, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States
SUITE 560W
PHILADELPHIA, PA 191042614
Phone: (215) 662-2286
Fax: (215) 615-0500
Type: Mailing
800, Spruce Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19109, United States
2 CATHCART
PHILADELPHIA, PA 191076130
Phone: (215) 829-3264
Type: Location
1700 W Stout St
Rice Lake, WI 548685000
Phone: (715) 236-4450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-10-17 • Largest payer in this snapshot: PFIZER INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $14 |
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: 2025-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20061111000003 | I | Emergency Medicine | NY | TBD |
| I20240715001991 | I | Emergency Medicine | WI | TBD |
| I20241104001715 | I | Emergency Medicine | MI | TBD |
| I20241113002591 | I | Emergency Medicine | KY | TBD |
| I20250523000811 | I | Emergency Medicine | TX | TBD |
| I20250924003254 | I | Emergency Medicine | IL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 161 | 155 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 95 | 94 | $0 |
| 99291 | Critical care, first 30-74 minutes | 55 | 55 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 45 | 45 | $0 |
Insurance plans in this area (ZIP 19104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| Pain Management | IL | |
| - | MI | |
| E N D O C R I N O L O G Y | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hospitalist, Internal Medicine | MI | |
| - | MI |
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