Paula May Rutledge , FNP-BC
Nurse Practitioner โข Middletown, DE
306 E Main St
Middletown, DE 197091482
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 28, 2005; this date does not establish years in practice.
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Published CMS data list 392 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 175 service units.
- G2211 โ 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's: 136 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 34 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 834 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 107 prescription fills, including refills.
- Amlodipine Besylate โ 78 prescription fills, including refills.
- Losartan Potassium โ 62 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 32 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner in Delaware (2024, 220 clinicians with data). Median for this group: 372. Middle half: 118 to 824.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 332 in 2022 to 392 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
306 E Main St
Middletown, DE 197091482
NPPES lists 1 additional practice-address record in Dover, DE. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Trinity Medical Associates, Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2000
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
127 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $27,824 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $19,093 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,958 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$54,437 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $363.64 across 15 records.
By nature of payment
- Food and Beverage: $363.64 across 15 records.
Reporting-company totals (3 largest of 5)
- Novo Nordisk Inc: $217.96 across 7 records.
- AstraZeneca Pharmaceuticals LP: $52.15 across 2 records.
- Astellas Pharma US Inc: $50.15 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Paula Rutledge has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Paula Rutledge as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Middletown and Delaware
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Nurse Practitioner in Delaware (2024, 220 clinicians with data). Median for this group: 372. Middle half: 118 to 824.
Too few clinicians listed under Nurse Practitioner in Middletown have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner in Delaware (2024, 220 clinicians with data). Median for this group: $27,904. Middle half: $10,080 to $59,546.
Too few clinicians listed under Nurse Practitioner in Middletown have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in Delaware (2024, 220 clinicians with data). Median for this group: $20,169. Middle half: $7,749 to $44,071.
Too few clinicians listed under Nurse Practitioner in Middletown have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Delaware (2024, 238 clinicians with data). Median for this group: 427. Middle half: 115 to 1,455.
Too few clinicians listed under Nurse Practitioner in Middletown have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in Delaware (2024, 238 clinicians with data). Median for this group: $41,667. Middle half: $2,414 to $216,454.
Too few clinicians listed under Nurse Practitioner in Middletown have Medicare Part D data for 2024 to compare.
14 active clinicians are listed under Nurse Practitioner with a practice address in Middletown, DE (547 in Delaware).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Middletown
7.1% of these 14 clinicians have the CMS telehealth indicator.
50% of these 14 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 18% from 332 in 2022 to 392 in 2024.
- 2022: 332
- 2023: 159
- 2024: 392
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Medicare-allowed amount
Medicare-allowed amount increased 31% from $21,281 in 2022 to $27,824 in 2024.
- 2022: $21,281
- 2023: $15,543
- 2024: $27,824
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Paid by Medicare
Paid by Medicare varied from year to year: $19,145 in 2022 and $19,093 in 2024.
- 2022: $19,145
- 2023: $11,190
- 2024: $19,093
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 214% from 266 in 2016 to 834 in 2024.
- 2016: 266
- 2017: 232
- 2022: 23
- 2023: 308
- 2024: 834
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30-day fills
30-day fills increased 342% from 443 in 2016 to 1,958 in 2024.
- 2016: 443
- 2017: 433
- 2022: 23
- 2023: 703
- 2024: 1,958
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Part D drug cost
Part D drug cost increased 887% from $5,514 in 2016 to $54,437 in 2024.
- 2016: $5,514
- 2017: $3,233
- 2022: $224
- 2023: $3,490
- 2024: $54,437
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $211.44 in 2023 to $363.64 in 2025.
- 2023: $211.44
- 2024: $295.31
- 2025: $363.64
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 15 records totaling $363.64.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $125.00 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $36.35 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Veozah | General | $21.14 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $18.57 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
โ | General | $17.29 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $16.62 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $15.80 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Veozah | General | $15.53 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $14.99 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $14.80 |
| Tactile Systems Technology Inc |
Food and Beverage
In-kind items and services
|
Flexitouch Plus | General | $14.58 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
The Cologuard Plus Collection Kit | General | $14.00 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $13.60 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Veozah | General | $13.48 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $11.89 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2022โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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175 | 111 | $140.00 | $106.45 |
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G2211
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's
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136 | 92 | $20.00 | $13.66 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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34 | 34 | $150.00 | $104.96 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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31 | 13 | $70.00 | $52.26 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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16 | 15 | $190.00 | $134.32 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 107 | 8,590 | $983.23 | 39 |
| Amlodipine Besylate | Amlodipine Besylate | 78 | 6,080 | $583.09 | 27 |
| Losartan Potassium | Losartan Potassium | 62 | 4,830 | $525.38 | 19 |
| Levothyroxine Sodium | Levothyroxine Sodium | 43 | 2,790 | $364.87 | 13 |
| Gabapentin | Gabapentin | 35 | 1,633 | $582.59 | โ |
| Metformin Hcl | Metformin Hcl | 34 | 2,655 | $228.45 | 14 |
| Lisinopril | Lisinopril | 31 | 2,858 | $268.69 | 12 |
| Fluticasone Propionate | Fluticasone Propionate | 31 | 1,650 | $224.15 | 15 |
| Hydrochlorothiazide | Hydrochlorothiazide | 31 | 2,054 | $115.66 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 27 | 2,190 | $411.19 | โ |
| Alprazolam | Alprazolam | 26 | 910 | $61.89 | โ |
| Meloxicam | Meloxicam | 23 | 745 | $221.13 | โ |
| Amoxicillin | Amoxicillin | 22 | 337 | $70.74 | 16 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 21 | 1,910 | $211.56 | โ |
| Simvastatin | Simvastatin | 19 | 1,635 | $156.86 | โ |
| Montelukast Sodium | Montelukast Sodium | 18 | 1,620 | $450.36 | โ |
| Pravastatin Sodium | Pravastatin Sodium | 17 | 1,470 | $192.73 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 17 | 1,520 | $195.05 | โ |
| Mounjaro | Tirzepatide | 17 | 532 | $19,565.18 | โ |
| Trazodone Hcl | Trazodone Hcl | 16 | 1,200 | $88.41 | โ |
| Glipizide Er | Glipizide | 16 | 780 | $238.78 | โ |
| Valsartan | Valsartan | 16 | 1,230 | $880.46 | โ |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 16 | 330 | $363.09 | 11 |
| Omeprazole | Omeprazole | 15 | 1,290 | $267.37 | โ |
| Jardiance | Empagliflozin | 14 | 1,270 | $26,024.68 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20081209000562
DE
7214098292
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Trinity Medical Associates, Pa
5209 W Woodmill Dr, Wilmington, DE 198084068
Phone: 3027626675
Secondary Practice Locations
1020 Forrest Ave Ste 1
Dover, DE 199042799
Phone: 3026784622
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner
Family Medicine
Nurse Practitioner - Primary Care
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 306 E MAIN ST, MIDDLETOWN, DE 197091482 (Tel: 3026522455)
Registered at 2 PENNS WAY 412, NEW CASTLE, DE 197202407 (Tel: (302) 652-2455)
Recorded as PAULA RUTLEDGE, FNP-BC
Nurse Practitioner (license number reported to NPPES: DE LG0000284)
NPI status registered as active in NPPES database
Registered at 306 E MAIN ST, MIDDLETOWN, DE 197091482 (Tel: 3026522455)
Registered at 2 PENNS WAY 412, NEW CASTLE, DE 197202407 (Tel: (302) 652-2455)
Recorded as PAULA RUTLEDGE, FNP-BC
Nurse Practitioner (license number reported to NPPES: DE LG0000284)
NPI status registered as active in NPPES database
Registered at 1020 FORREST AVE STE 1, DOVER, DE 199042799 (Tel: 3026784622)
Registered at 2 PENNS WAY 412, NEW CASTLE, DE 197202407 (Tel: 3026522455)
Recorded as PAULA WATSON, CNP
Nurse Practitioner (license number reported to NPPES: DE LG0000284)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Middletown
- Flavee Banfield, FNP
- Brittany Rhoads, FNP
- Aimee Nacrelli, NP
- Deborah Streeter, NP
- Georgette Ondobo, MSN
- Cara O'reilly, NP-C
Mailing Address
2 Penns Way 412
New Castle, DE 197202407
Phone: 3026522455