LEE'OR T. RUTENBERG (PA-C) – Surgical Physician Assistant, NPI 1205383148
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for LEE'OR T. RUTENBERG (PA-C)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Type: Mailing
601 BROADWAY STE 600
SEATTLE, WA 981225330
Phone: (206) 386-6171
Fax: (206) 860-6634
Type: Location
Roosevelt Commons East, 4311, 11th Avenue Northeast, University District, Seattle, King County, Washington, 98105, United States
SUITE 200
SEATTLE, WA 981056366
Phone: (206) 616-4001
Type: Mailing
11695 NE 4TH ST
BELLEVUE, WA 980045268
Phone: (425) 637-1855
Fax: (206) 344-7970
Type: Mailing
601 BROADWAY FL 7
SEATTLE, WA 981225330
Phone: (206) 386-2600
Fax: (206) 622-1644
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $11,467.
Total Amount is formed as General ($11,467) + Research ($0) + Ownership ($0) = $11,467.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($11,377).
Total Amount
$11,467
General + Research + Ownership
Payments
21
Total payment records
General Amount
$11,467
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $11,377 |
| Ethicon US, LLC | $90 |
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: 2017-10-23
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 |
|---|---|---|---|---|
| I20171023000395 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 44 | 25 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 39 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 25 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 13 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | WA |
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