Thomas Rutherford, DO
NPI 1225527138 · Hospitalist Physician · Decatur, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Rutherford, DO is a Hospitalist Physician provider in Decatur, IL (NPI 1225527138).
Provider details
- NPI number
- 1225527138
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 312615 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
850 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 291 | $121 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 171 | $86 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 109 | $9 |
| Hemoglobin A1c Level83036 | 87 | $9 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 56 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 81 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 251 | 91 |
| Gabapentin | 207 | 49 |
| Levothyroxine Sodium | 181 | 51 |
| Lisinopril | 138 | 46 |
| Omeprazole | 120 | 35 |
| Metformin Hcl | 109 | 30 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$893 across 50 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1501 Kings HwyShreveport, LA 71103-4228Phone: (318) 675-5915
- 401 Matthew StreetEmergency DepartmentMarietta, OH 45750Phone: (740) 568-5669
Registry dates
- Enumerated
- 2018-05-07
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Frequently asked questions
- What is Thomas Rutherford's NPI number?
- Thomas Rutherford's National Provider Identifier (NPI) is 1225527138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Rutherford's specialty?
- Thomas Rutherford is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Rutherford located?
- Thomas Rutherford's practice location on file with NPPES is 176 W Mound Rd, Decatur, IL 62526-1964.
- What is Thomas Rutherford's phone number?
- The practice phone number listed in the NPPES registry for Thomas Rutherford is (217) 875-0163.
- Does Thomas Rutherford accept Medicare?
- Thomas Rutherford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Rutherford's NPI active?
- Yes — Thomas Rutherford's NPI (1225527138) is active in the NPPES registry as of the last update on 2024-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.