James Dull Rutter Iv, MD - Medicare Pediatric Medicine in Grove, OK

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James Dull Rutter Iv, MD is a medicare enrolled "Internal Medicine" physician in Grove, Oklahoma. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1996 and has 28 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Integris Grove Hospital and his current practice location is 900 E 13th St, Suite 101, Grove, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 786-9900.

James Dull Rutter Iv is licensed to practice in Oklahoma (license number 21574) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649258369.

Contact Information

James Dull Rutter Iv, MD
900 E 13th St, Suite 101,
Grove, OK 74344-2976
(918) 786-9900
(918) 786-9904

Map and Direction




Physician's Profile

Full NameJames Dull Rutter Iv
GenderMale
SpecialityPediatric Medicine
Experience28 Years
Location900 E 13th St, Grove, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Dull Rutter Iv attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1996
  NPI Data:
  • NPI Number: 1649258369
  • Provider Enumeration Date: 01/03/2006
  • Last Update Date: 04/05/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0840196739
  • Enrollment ID: I20031231000129

Medical Identifiers

Medical identifiers for James Dull Rutter Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649258369NPI-NPPES
209007509MedicaidMO
100103090BMedicaidOK
200505990HMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 21574 (Oklahoma)Primary
208000000XPediatrics 21574 (Oklahoma)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home HealthGrove, OKHome health agency
Integris Home Care MiamiMiami, OKHome health agency
Integris Grove HospitalGrove, OKHospital
Integris Miami HospitalMiami, OKHospital
Freeman Health System - Freeman WestJoplin, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integris Grove Hospital004210583511

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Dull Rutter Iv allows following entities to bill medicare on his behalf.
Entity NameIntegris Grove Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134720592
PECOS PAC ID: 0042105835
Enrollment ID: O20040219000842
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Dull Rutter Iv is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James Dull Rutter Iv, MD
5300 N Independence Ave, 280,
Oklahoma City, OK 73112-5556

Ph: (918) 786-9900		James Dull Rutter Iv, MD
900 E 13th St, Suite 101,
Grove, OK 74344-2976

Ph: (918) 786-9900

Reviews and Comments


Internal Medicine Doctors in Grove, OK

Mr. Paul Edward Callicoat Jr., MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 900 E 13th St, Suite 200, Grove, OK 74344
Phone: 918-786-7667    Fax: 918-786-7699
Dr. James B Chapman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 E 13th St, Suite 200, Grove, OK 74344
Phone: 918-592-0999    Fax: 918-592-1021
Dr. Thomas E Riggs, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 29701 S 584 Way, Grove, OK 74344
Phone: 918-786-7169    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.