DR. ADAM J PRUETT (M.D.) – Psychiatry Physician, NPI 1609050756
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. ADAM J PRUETT (M.D.)
Rutland Regional Medical Center, 160, Allen Street, Brookside Trailer Park, Rutland City, Rutland County, Vermont, 05701, United States
RUTLAND, VT 057014560
Phone: (802) 775-7111
Fax: (802) 773-4471
Type: Mailing
4384 MAIN STREET
MANCHESTER, VT 052548945
Phone: (802) 768-9136
Fax: (802) 662-2173
Type: Location
PO BOX 255
MANCHESTER, VT 052540255
Phone: (802) 768-9136
Fax: (802) 662-2173
Type: Mailing
4697 MAIN ST FL 1
MANCHESTR CTR, VT 052558945
Phone: (802) 768-9136
Fax: (802) 662-2173
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100723000187 | I | Psychiatry | AL | TBD |
| I20170905001047 | I | Psychiatry | SD | TBD |
| I20180813002462 | I | Psychiatry | VT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | AL | 90792 | Psychiatric diagnostic evaluation with medical services | 121 | 114 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | VT | |
| Orthopedic Surgery | VT | |
| - | VT | |
| Pulmonary Disease, Critical Care (Intensivists) | DE | |
| Internal Medicine | VT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | DC | |
| Hospitalist, Internal Medicine | MA | |
| Emergency Medicine | VT | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | VT |
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