MS. LORI A. RUTHERFORD (NP) – Gerontology Nurse Practitioner, NPI 1679538946
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. LORI A. RUTHERFORD (NP)
4515 BRAMBLETON AVE STE B
ROANOKE, VA 240183436
Phone: (540) 777-6807
Type: Location
1970 Roanoke Blvd
Salem, VA 241536404
Phone: (540) 982-2463
Fax: (540) 224-1904
Type: Location
949, Piney Forest Road, Woodbury Hills, Danville, Danville City, Virginia, 24540, United States
DANVILLE, VA 245401591
Phone: (540) 982-2463
Fax: (540) 224-1904
Type: Mailing
Salem Veterans Affairs Medical Center, 1970, Roanoke Boulevard, Boulevard Estates, Salem, Salem (city), Virginia, 24153, United States
SALEM, VA 241536404
Phone: (540) 982-2463
Fax: (540) 224-1904
Type: Location
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 $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-03-16 • Largest payer in this snapshot: CSL Behring ($25).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $25 |
| Novo Nordisk Inc | $25 |
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: 2017-04-18
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 |
|---|---|---|---|---|
| I20170418002358 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 351 | 22 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 316 | 47 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 289 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 215 | 81 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 76 | 76 | $0 |
Insurance plans in this area (ZIP 24018)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| - | VA |
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