MICHAEL J RUTTER (MPAS, PA-C) – Surgical Physician Assistant, NPI 1801952015
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHAEL J RUTTER (MPAS, PA-C)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Phone: (210) 292-4242
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-31
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78236)
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