MISTY RUPPERT (MD) – Ophthalmology Physician, NPI 1104440833

MISTY RUPPERT (MD) is a healthcare provider. based in Lubbock, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. U5501 (TX). The NPI Number for MISTY RUPPERT (MD) is 1104440833

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MISTY RUPPERT (MD)
NPI
1104440833
Phone
Not provided
Address
3601 4TH ST STOP 9410
Enumeration Date
28 May 2020
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
2547242663
Graduation Year
2020 (6 years ago)
PAC ID
6103240148
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20251119001873
Address ID
TX765080001TE2401XBLDG501

Contacts

Secure Messaging
mruppert1493917@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for MISTY RUPPERT (MD)

  • 3601 4TH ST STOP 9410

    LUBBOCK, TX 794300002

    Phone:

    Type: Mailing

  • 3601 4TH ST

    LUBBOCK, TX 794300002

    Phone: (806) 743-1000

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (800) 994-0371

    Fax: (254) 215-9722

    Type: Mailing

  • 900 SCOTT AND WHITE DR

    COLLEGE STATION, TX 778456419

    Phone: (979) 207-7400

    Fax: (979) 207-7401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Alcon Vision LLC ($40).

Total Amount

$73

General + Research + Ownership

Payments

3

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

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: 2025-11-19

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
I20240612000076IOphthalmologyMATBD
I20251119001873IOphthalmologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79430)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What NPI should I save for MISTY RUPPERT (MD)?
Save NPI 1104440833 if you need a stable reference for MISTY RUPPERT (MD).
Is MISTY RUPPERT (MD) active in the national directory?
MISTY RUPPERT (MD)'s public NPI profile is in an active state.
What does MISTY RUPPERT (MD) treat or focus on?
Patients typically see MISTY RUPPERT (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for MISTY RUPPERT (MD)?
We surface Lubbock, Texas for MISTY RUPPERT (MD) based on available NPPES addresses.
How can I contact MISTY RUPPERT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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