DR. AUDREY KAY RUTHERFORD (MD) – Dermatology Physician, NPI 1366946899
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
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Provider Addresses for DR. AUDREY KAY RUTHERFORD (MD)
114 DEER CREEK DR
ALEDO, TX 760083900
Phone: (817) 304-8839
Type: Mailing
520, East 19th Avenue, North Capitol Hill, Denver, Denver County, Colorado, 80203, United States
DENVER, CO 802181243
Phone: (303) 869-2278
Fax: (303) 869-2258
Type: Location
1222 W LEGACY CROSSING BLVD STE 200
CENTERVILLE, UT 840145560
Phone: (801) 549-0570
Type: Location
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 $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($150).
Total Amount
$165
General + Research + Ownership
Payments
7
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $150 |
| Janssen Biotech, Inc. | $15 |
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: 2024-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240627004137 | I | Dermatology | CO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 328 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 91 | 55 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 68 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 50 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 43 | 41 | $0 |
Insurance plans in this area (ZIP 76008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | CO | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | PR | |
| Physician Assistant | CO |
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