WALTER RUCKER (MD) – Family Medicine Physician, NPI 1386644094

WALTER RUCKER (MD) is a healthcare provider. based in Cleveland, Tennessee. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 28924 (TN). The NPI Number for WALTER RUCKER (MD) is 1386644094

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
WALTER RUCKER (MD)
NPI
1386644094
Phone
(423) 389-8000
Address
2535 GEORGETOWN RD NW
Enumeration Date
22 July 2005
Last Update Date
4 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
4237907662
Graduation Year
1993 (33 years ago)
PAC ID
2163511742
Group Practice PAC ID
8325236953
Professional Enrollment ID
I20071204000841
Address ID
TN373111760CL463XXNWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for WALTER RUCKER (MD)

  • 2535, Georgetown Road Northwest, Laurel Ridge, Cleveland, Bradley County, Tennessee, 37311, United States

    CLEVELAND, TN 373113534

    Phone: (423) 389-8000

    Fax: (615) 216-8538

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Halozyme Inc ($46).

Total Amount

$119

General + Research + Ownership

Payments

7

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

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: 2007-12-04

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
I20071204000841IFamily PracticeTNTBD

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
G0179Physician or allowed practitioner re-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 a559264$0
99214Established patient office or other outpatient visit, 30-39 minutes436209$0
36415Insertion of needle into vein for collection of blood sample370209$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 and364289$0
96372Injection of drug or substance under skin or into muscle20443$0
View full utilization report →

Insurance plans in this area (ZIP 37311)

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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: 8325236953View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do I look up WALTER RUCKER (MD) by NPI?
Use NPI 1386644094 when you need to reference WALTER RUCKER (MD) in forms, claims, or directories.
Does this profile mean WALTER RUCKER (MD) is currently active?
Yes — WALTER RUCKER (MD) appears active in the national provider directory.
What field does WALTER RUCKER (MD) work in?
You can think of WALTER RUCKER (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is WALTER RUCKER (MD)'s primary listing?
We display Cleveland, Tennessee because that is what the record indicates for WALTER RUCKER (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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