Dr. Dean Alan Ruble , DO
Internal Medicine • Warren, MI
8200 Old 13 Mile Rd Ste 101
Warren, MI 480932171
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on August 21, 2007; this date does not establish years in practice.
-
Published CMS data list 2,518 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99349 — Residence visit for established patient with moderate level of medical decision making, per day: 834 service units.
- 99350 — Residence visit for established patient with high level of medical decision making, per day: 618 service units.
- 96372 — Injection of drug or substance under skin or into muscle: 171 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 14 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 1,637 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.
-
Published Part D records, 2024:
- Acetaminophen-Codeine (Acetaminophen With Codeine) — 98 prescription fills, including refills.
- Promethazine Hcl — 95 prescription fills, including refills.
- Diclofenac Sodium — 90 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 56 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Warren, MI (2024, 55 clinicians with data). Median for this group: 504. Middle half: 307 to 1,084.
More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Michigan (2024, 3,244 clinicians with data). Median for this group: 502. Middle half: 235 to 939.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 8,667 in 2019 to 2,518 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2024.
Practice Location & Contact Primary Location
8200 Old 13 Mile Rd Ste 101
Warren, MI 480932171
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Rockford, MI. See the list
Source: CMS NPPES NPI Registry, practice location records; 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
Philadelphia College Of Osteopathic Medicine
1990
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
108 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 – by Provider, 2024.
Medicare-allowed amount
About $267,360 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 – by Provider and Service, 2024.
Paid by Medicare
About $202,188 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 – by Provider and Service, 2024.
30-day fills
2,550 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
$100,399 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.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
36 years (graduated 1990)
CMS Doctors and Clinicians data list 1990 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
2007
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?”
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)
Dr. Ruble 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 Dr. Ruble 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 Warren and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Warren, MI (2024, 55 clinicians with data). Median for this group: 504. Middle half: 307 to 1,084.
More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Michigan (2024, 3,244 clinicians with data). Median for this group: 502. Middle half: 235 to 939.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Internal Medicine in Warren, MI (2024, 55 clinicians with data). Median for this group: $53,946. Middle half: $28,799 to $93,026.
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Michigan (2024, 3,244 clinicians with data). Median for this group: $45,163. Middle half: $22,487 to $79,883.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Internal Medicine in Warren, MI (2024, 55 clinicians with data). Median for this group: $42,609. Middle half: $22,172 to $72,793.
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Michigan (2024, 3,244 clinicians with data). Median for this group: $34,631. Middle half: $16,935 to $61,333.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Internal Medicine in Warren, MI (2024, 59 clinicians with data). Median for this group: 724. Middle half: 129 to 3,367.
Close to the middle for clinicians listed under Internal Medicine in Michigan (2024, 3,463 clinicians with data). Median for this group: 801. Middle half: 94 to 5,032.
Part D drug cost
Close to the middle for clinicians listed under Internal Medicine in Warren, MI (2024, 59 clinicians with data). Median for this group: $55,064. Middle half: $4,142 to $284,164.
Close to the middle for clinicians listed under Internal Medicine in Michigan (2024, 3,463 clinicians with data). Median for this group: $66,958. Middle half: $1,946 to $462,816.
90 active clinicians are listed under Internal Medicine with a practice address in Warren, MI (5,741 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Warren
14.4% of these 90 clinicians have the CMS telehealth indicator.
62.2% of these 90 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.
-
Medicare Part B services
Medicare Part B services decreased 71% from 8,667 in 2019 to 2,518 in 2024.
- 2019: 8,667
- 2021: 2,664
- 2022: 4,182
- 2023: 3,796
- 2024: 2,518
-
Medicare-allowed amount
Medicare-allowed amount decreased 63% from $713,582 in 2019 to $267,360 in 2024.
- 2019: $713,582
- 2021: $77,084
- 2022: $136,766
- 2023: $311,996
- 2024: $267,360
-
Paid by Medicare
Paid by Medicare decreased 64% from $567,259 in 2019 to $202,188 in 2024.
- 2019: $567,259
- 2021: $62,369
- 2022: $106,839
- 2023: $245,587
- 2024: $202,188
-
Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 1,561 in 2020 and 1,637 in 2024.
- 2020: 1,561
- 2021: 22
- 2022: 13
- 2023: 921
- 2024: 1,637
-
30-day fills
30-day fills increased 24% from 2,058 in 2020 to 2,550 in 2024.
- 2020: 2,058
- 2021: 34
- 2022: 13
- 2023: 1,508
- 2024: 2,550
-
Part D drug cost
Part D drug cost varied from year to year: $96,790 in 2020 and $100,399 in 2024.
- 2020: $96,790
- 2021: $929
- 2022: $316
- 2023: $77,662
- 2024: $100,399
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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 |
|---|---|---|---|---|
|
99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
|
834 | 101 | $240.00 | $123.55 |
|
99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
|
618 | 94 | $335.01 | $179.44 |
|
96372
Injection of drug or substance under skin or into muscle
|
171 | 35 | $25.00 | $13.68 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
154 | 12 | $2.00 | $0.99 |
|
99443
Telephone medical discussion with physician, 21-30 minutes
|
143 | 49 | $225.00 | $122.42 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
130 | 29 | $2.00 | $0.59 |
|
90833
Psychotherapy with evaluation and management visit, 30 minutes
|
117 | 62 | $90.00 | $69.47 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
85 | 36 | $2.00 | $1.38 |
|
G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
|
69 | 60 | $150.00 | $102.40 |
|
99497
Advance care planning, first 30 minutes
|
68 | 67 | $105.00 | $81.04 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
58 | 58 | $160.00 | $127.51 |
|
99406
Smoking and tobacco use intensive counseling, 4-10 minutes
|
48 | 30 | $25.00 | $13.84 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
12 | 12 | $255.00 | $159.09 |
|
93925
Ultrasound of leg arteries or artery grafts
|
11 | 11 | $300.00 | $232.75 |
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 |
|---|---|---|---|---|---|
| Acetaminophen-Codeine | Acetaminophen With Codeine | 98 | 2,679 | $2,570.89 | 53 |
| Promethazine Hcl | Promethazine Hcl | 95 | 1,450 | $2,007.10 | 31 |
| Diclofenac Sodium | Diclofenac Sodium | 90 | 2,100 | $1,877.78 | 19 |
| Amlodipine Besylate | Amlodipine Besylate | 84 | 5,320 | $550.37 | 27 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 73 | 3,947 | $5,102.28 | 26 |
| Famotidine | Famotidine | 67 | 4,060 | $1,145.53 | 21 |
| Losartan Potassium | Losartan Potassium | 62 | 4,140 | $387.63 | 17 |
| Azithromycin | Azithromycin | 57 | 244 | $226.96 | 22 |
| Omeprazole | Omeprazole | 50 | 2,640 | $396.08 | 15 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 42 | 1,320 | $26,545.15 | 11 |
| Fluticasone Propionate | Fluticasone Propionate | 38 | 1,560 | $411.76 | 13 |
| Gabapentin | Gabapentin | 37 | 1,260 | $420.34 | 11 |
| Amoxicillin | Amoxicillin | 35 | 305 | $128.79 | 15 |
| Ventolin Hfa | Albuterol Sulfate | 35 | 1,942 | $3,312.92 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 32 | 2,040 | $432.07 | 12 |
| Trazodone Hcl | Trazodone Hcl | 32 | 1,452 | $494.13 | 11 |
| Ozempic | Semaglutide | 32 | 896 | $29,002.38 | — |
| Metoclopramide Hcl | Metoclopramide Hcl | 31 | 1,290 | $902.70 | — |
| Metformin Hcl | Metformin Hcl | 27 | 1,590 | $183.13 | 12 |
| Hydrochlorothiazide | Hydrochlorothiazide | 26 | 2,040 | $84.88 | 11 |
| Ketoconazole | Ketoconazole | 24 | 616 | $390.90 | — |
| Furosemide | Furosemide | 22 | 1,020 | $82.17 | — |
| Metoprolol Tartrate | Metoprolol Tartrate | 21 | 1,170 | $147.78 | — |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | 1,110 | $392.68 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 21 | 1,470 | $192.07 | — |
(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
Self-certified to NPPES: 2022-11-17NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20040628000004
MI
3779569017
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
6701 Boca Vista Dr Ne Unit 102
Rockford, MI 493419655
Phone: 6162555338
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 8200 OLD 13 MILE RD STE 101, WARREN, MI 480932171 (Tel: 6162555338)
Registered at 6701 BOCA VISTA DR NE UNIT 102, ROCKFORD, MI 493419655 (Tel: 6162555338)
NPI status registered as active in NPPES database
Registered at 1676 VIEWPOND DR SE, SUITE 100-A, KENTWOOD, MI 495084994 (Tel: 6164554990)
Registered at 1676 VIEWPOND DR SE, SUITE 100-A, KENTWOOD, MI 495084994 (Tel: 6164554990)
Recorded as DEAN RUBLE, D.O.
Internal Medicine (license number reported to NPPES: MI 5101013173)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Warren
- Dr. Amuche Alexander, MD
- Dr. Rachel Koch, DO
- Dr. Rabee Paul, MD
- Dr. Heather Franke, DO
- Dr. Rafael Barretto, DO
- Dr. Stephen Kehres, DO
Mailing Address
6701 Boca Vista Dr Ne Unit 102
Rockford, MI 493419655
Phone: 6162555338