James N. Ruch , PA-C
Physician Assistant • Sebring, FL
3700 Emergency Ln
Sebring, FL 338705536
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 February 23, 2011; this date does not establish years in practice.
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Published CMS data list 416 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 99214 — Established patient outpatient office visit: 212 service units.
- 99213 — Established patient outpatient office visit: 54 service units.
- G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 44 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 8 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 3,112 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Losartan Potassium — 137 prescription fills, including refills.
- Amlodipine Besylate — 132 prescription fills, including refills.
- Atorvastatin Calcium — 132 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 97 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Sebring, FL (2024, 12 clinicians with data). Median for this group: 928. Middle half: 25 to 2,722.
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 597 in 2017 to 416 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
3700 Emergency Ln
Sebring, FL 338705536
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Mt Grant General Hospital. 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
2010
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $37,693 in 2021
The total amount Medicare approved for these services in 2021. 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 – by Provider and Service, 2021.
Paid by Medicare
About $24,308 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, 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 – by Provider and Service, 2021.
30-day fills
6,432 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
$331,902 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2021
All general payments: $204.12 across 11 records.
By nature of payment
- Food and Beverage: $204.12 across 11 records.
Reporting-company totals (3 largest of 4)
- Eli Lilly and Company: $117.24 across 6 records.
- Novo Nordisk Inc: $36.65 across 2 records.
- Boehringer Ingelheim Pharmaceuticals, Inc.: $36.50 across 2 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 2021 (published June 30, 2026).
Years since graduation
16 years (graduated 2010)
CMS Doctors and Clinicians data list 2010 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
2011
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, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Ruch 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 James Ruch 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 Sebring and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Sebring, FL (2024, 12 clinicians with data). Median for this group: 928. Middle half: 25 to 2,722.
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Sebring, FL (2024, 12 clinicians with data). Median for this group: $68,324. Middle half: $163 to $277,160.
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for James Ruch are from 2021.
22 active clinicians are listed under Physician Assistant with a practice address in Sebring, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Sebring
9.1% of these 22 clinicians have the CMS telehealth indicator.
45.5% of these 22 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 decreased 30% from 597 in 2017 to 416 in 2021.
- 2017: 597
- 2018: 1,225
- 2019: 931
- 2020: 1,221
- 2021: 416
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $37,731 in 2017 and $37,693 in 2021.
- 2017: $37,731
- 2018: $72,947
- 2019: $70,616
- 2020: $90,377
- 2021: $37,693
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Paid by Medicare
Paid by Medicare varied from year to year: $25,554 in 2017 and $24,308 in 2021.
- 2017: $25,554
- 2018: $52,740
- 2019: $47,632
- 2020: $67,283
- 2021: $24,308
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 53% from 6,614 in 2020 to 3,112 in 2024.
- 2020: 6,614
- 2021: 5,770
- 2022: 2,000
- 2023: 2,319
- 2024: 3,112
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30-day fills
30-day fills decreased 58% from 15,144 in 2020 to 6,432 in 2024.
- 2020: 15,144
- 2021: 14,270
- 2022: 3,954
- 2023: 4,693
- 2024: 6,432
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Part D drug cost
Part D drug cost decreased 28% from $459,713 in 2020 to $331,902 in 2024.
- 2020: $459,713
- 2021: $468,791
- 2022: $150,172
- 2023: $267,694
- 2024: $331,902
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2021 only.
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 2021 (payments made January 1 – December 31, 2021): 11 records totaling $204.12.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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STIOLTO RESPIMAT | General | $23.44 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $21.35 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $20.92 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $19.84 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $19.84 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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TRULICITY | General | $19.50 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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TRULICITY | General | $18.00 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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TRULICITY | General | $17.63 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $16.81 |
| Kowa Pharmaceuticals America, Inc. |
Food and Beverage
Cash or cash equivalent
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Livalo | General | $13.73 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $13.06 |
Source: CMS Open Payments, program year 2021, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 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 – by Provider and Service data, 2017–2021; 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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212 | 146 | $225.00 | $111.04 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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54 | 50 | $153.00 | $78.35 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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44 | 44 | $341.00 | $112.27 |
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81003
Automated urinalysis test
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31 | 27 | $10.00 | $2.25 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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29 | 24 | $152.00 | $78.16 |
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83036
Hemoglobin a1c level
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16 | 16 | $41.00 | $9.71 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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16 | 16 | $358.00 | $145.14 |
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96372
Injection of drug or substance under skin or into muscle
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14 | 14 | $75.00 | $12.00 |
Source: CMS Part B by Provider and Service, 2021; 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 |
|---|---|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 137 | 10,550 | $900.47 | 39 |
| Amlodipine Besylate | Amlodipine Besylate | 132 | 11,420 | $325.39 | 40 |
| Atorvastatin Calcium | Atorvastatin Calcium | 132 | 10,282 | $806.02 | 37 |
| Gabapentin | Gabapentin | 109 | 6,637 | $1,844.89 | 32 |
| Lisinopril | Lisinopril | 108 | 7,758 | $339.44 | 29 |
| Omeprazole | Omeprazole | 101 | 6,772 | $819.31 | 29 |
| Levothyroxine Sodium | Levothyroxine Sodium | 92 | 7,230 | $1,341.48 | 28 |
| Metformin Hcl | Metformin Hcl | 86 | 5,992 | $355.93 | 21 |
| Tamsulosin Hcl | Tamsulosin Hcl | 81 | 5,680 | $1,178.14 | 24 |
| Metoprolol Tartrate | Metoprolol Tartrate | 72 | 5,055 | $436.98 | 19 |
| Eliquis | Apixaban | 68 | 2,935 | $54,044.43 | 14 |
| Jardiance | Empagliflozin | 65 | 1,381 | $28,679.26 | — |
| Simvastatin | Simvastatin | 61 | 5,090 | $165.27 | 19 |
| Metoprolol Succinate | Metoprolol Succinate | 61 | 5,130 | $737.82 | 20 |
| Hydrochlorothiazide | Hydrochlorothiazide | 50 | 3,610 | $246.43 | 18 |
| Meloxicam | Meloxicam | 49 | 2,991 | $95.19 | 19 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 47 | 1,658 | $2,464.92 | 26 |
| Alendronate Sodium | Alendronate Sodium | 45 | 2,324 | $357.37 | — |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 43 | 1,085 | $858.73 | 12 |
| Pregabalin | Pregabalin | 42 | 1,500 | $461.47 | — |
| Finasteride | Finasteride | 41 | 2,526 | $425.39 | — |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 40 | 2,580 | $430.02 | — |
| Prednisone | Prednisone | 38 | 258 | $46.65 | 30 |
| Trazodone Hcl | Trazodone Hcl | 37 | 1,882 | $181.38 | — |
| Buspirone Hcl | Buspirone Hcl | 35 | 2,070 | $172.47 | 11 |
(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: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20211015000957
NV
9335322700
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
Mt Grant General Hospital
200 S A St, Hawthorne, NV 894151510
Phone: 7759452461
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3700 EMERGENCY LN, SEBRING, FL 338705536 (Tel: 8633864302)
Physician Assistant (license number reported to NPPES: TN 1936)
NPI status registered as active in NPPES database
Registered at 3700 EMERGENCY LN, SEBRING, FL 338705536 (Tel: 8633864302)
Registered at 4104 BOGEY BLVD, SEBRING, FL 338724401 (Tel: 8653220815)
Recorded as JAMES RUCH, PA-C
Physician Assistant (license number reported to NPPES: FL PA9106082)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Sebring
- Alyson Thomas, PA-C
- Olivia Meadows, PA-C
- Patrick Clark, PA-C
- Julie Esquinaldo, PA
- Jana Sanders, PA-C
- Robert Fell, PA-C
Mailing Address
3700 Emergency Ln
Sebring, FL 338705536
Phone: 8633864302