DR. COSTANZA DIECEKA RUTLAND (M.D.) – Obstetrics & Gynecology Physician, NPI 1053484725
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,164 OBSTETRICS/GYNECOLOGY in VA
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Provider Addresses for DR. COSTANZA DIECEKA RUTLAND (M.D.)
3998, Fair Ridge Drive, Pender, Chantilly, Fairfax (city), Virginia, 22033, United States
SUITE 270
FAIRFAX, VA 22030
Phone: (703) 218-5357
Fax: (703) 218-5358
Type: Location
3998 FAIR RIDGE DR STE 270
FAIRFAX, VA 220332907
Phone: (703) 218-5357
Fax: (703) 218-5358
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Stryker Corporation ($117).
Total Amount
$137
General + Research + Ownership
Payments
2
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $117 |
| Organon LLC | $20 |
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: 2025-11-07
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 |
|---|---|---|---|---|
| I20110104000086 | I | Obstetrics/Gynecology | DC | TBD |
| I20200115003243 | I | Obstetrics/Gynecology | VA | TBD |
| I20251107000130 | I | Obstetrics/Gynecology | DE | 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 22030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | FL | |
| - | NC | |
| P S Y C H I A T R Y | VA | |
| Orthopedic Surgery | VA | |
| Family Practice | VA | |
| Nurse Practitioner | NC | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology | VA | |
| Internal Medicine | IL |
Reviews
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