STEPHEN R RUDISILL (MD) – Family Medicine Physician, NPI 1013925775

STEPHEN R RUDISILL (MD) is a healthcare provider. based in Beloit, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 29225020 (WI). The NPI Number for STEPHEN R RUDISILL (MD) is 1013925775

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN R RUDISILL (MD)
NPI
1013925775
Phone
(608) 364-2200
Address
1905 E. HUEBBE PARKWAY
Enumeration Date
4 August 2006
Last Update Date
20 October 2011

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7155254930
Graduation Year
1985 (41 years ago)
PAC ID
8123017746
Group Practice PAC ID
8224947858
Professional Enrollment ID
I20110211000996
Address ID
IL610737641RO5605XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

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Provider Addresses for STEPHEN R RUDISILL (MD)

  • 1905, Huebbe Parkway, City of Beloit, Rock County, Wisconsin, 53511, United States

    BELOIT HEALTH SYSTEM INC

    BELOIT, WI 535111842

    Phone: (608) 364-2200

    Fax: (608) 363-7395

    Type: Mailing

  • 1650, Lee Lane, Beloit, Rock County, Wisconsin, 53511, United States

    OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER

    BELOIT, WI 535113935

    Phone: (608) 362-0211

    Fax: (608) 364-4670

    Type: Location

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: 2011-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040510000478IFamily PracticeWITBD
I20110211000996IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes713291$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit195195$0
99214Established patient office or other outpatient visit, 30-39 minutes7971$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1414$0
View full utilization report →

Insurance plans in this area (ZIP 53511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224947858View full group profile
NameSpecialtyState
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
Family PracticeWI
Family PracticeWI
Nurse PractitionerWI
Infectious DiseaseWI
Internal MedicineNY
G A S T R O E N T E R O L O G YWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for STEPHEN R RUDISILL (MD)?
STEPHEN R RUDISILL (MD) — NPI 1013925775 — is the standard way to identify this listing.
Is STEPHEN R RUDISILL (MD) still practicing?
STEPHEN R RUDISILL (MD) is currently listed as active in the public NPI registry.
What is STEPHEN R RUDISILL (MD)'s specialty?
The listing groups STEPHEN R RUDISILL (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does STEPHEN R RUDISILL (MD) list a practice location?
Patients near Beloit, Wisconsin may find STEPHEN R RUDISILL (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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