Joni Lyn Ruffner , NURSE PRACTITIONER
Nurse Practitioner • Lorain, OH
3600 Kolbe Rd Ste 227
Lorain, OH 440531601
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 March 15, 2015; this date does not establish years in practice.
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Published CMS data list 45 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99214 — Established patient outpatient office visit: 25 service units.
- 99204 — New patient outpatient office visit: 20 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 220 Medicare Part D prescriptions, including refills, in 2017.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Published rows only; this is not a quality measure.
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Published Part D records, 2017:
- Furosemide — 31 prescription fills, including refills.
- Isosorbide Mononitrate Er (Isosorbide Mononitrate) — 28 prescription fills, including refills.
- Metoprolol Tartrate — 19 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 170 in 2019 to 45 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2023.
Practice Location & Contact Primary Location
3600 Kolbe Rd Ste 227
Lorain, OH 440531601
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $5,312 in 2023
The total amount Medicare approved for these services in 2023. 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, 2023.
Paid by Medicare
About $2,998 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.
30-day fills
240 standardized 30-day fills in 2017
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
$7,494 in 2017
The total cost of these prescriptions in 2017, 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, 2017.
Open Payments general payments, program year 2023
All general payments: $178.80 across 4 records.
By nature of payment
- Food and Beverage: $178.80 across 4 records.
Reporting-company totals
- Bayer Healthcare Pharmaceuticals Inc.: $124.99 across 1 record.
- Boehringer Ingelheim Pharmaceuticals, Inc.: $34.66 across 2 records.
- Abbott Laboratories: $19.15 across 1 record.
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 2023 (published June 30, 2026).
NPI first issued
2015
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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)
Joni Ruffner 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 Joni Ruffner 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 Lorain and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Joni Ruffner are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Joni Ruffner are from 2017.
13 active clinicians are listed under Nurse Practitioner with a practice address in Lorain, OH (4,257 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lorain
15.4% of these 13 clinicians have the CMS telehealth indicator.
53.8% of these 13 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 74% from 170 in 2019 to 45 in 2023.
- 2019: 170
- 2020: 164
- 2021: 261
- 2022: 206
- 2023: 45
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Medicare-allowed amount
Medicare-allowed amount decreased 70% from $17,423 in 2019 to $5,312 in 2023.
- 2019: $17,423
- 2020: $17,090
- 2021: $28,540
- 2022: $23,903
- 2023: $5,312
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Paid by Medicare
Paid by Medicare decreased 77% from $13,104 in 2019 to $2,998 in 2023.
- 2019: $13,104
- 2020: $12,796
- 2021: $20,788
- 2022: $18,198
- 2023: $2,998
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 72% from 128 in 2016 to 220 in 2017.
- 2016: 128
- 2017: 220
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30-day fills
30-day fills increased 86% from 129 in 2016 to 240 in 2017.
- 2016: 129
- 2017: 240
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Part D drug cost
Part D drug cost increased 515% from $1,219 in 2016 to $7,494 in 2017.
- 2016: $1,219
- 2017: $7,494
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $668.78 in 2021 to $178.80 in 2023.
- 2021: $668.78
- 2022: $873.29
- 2023: $178.80
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2017), CMS Open Payments (2023), 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 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $178.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Adempas | General | $124.99 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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OFEV | General | $20.74 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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AMPLATZER | General | $19.15 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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STIOLTO RESPIMAT | General | $13.92 |
Source: CMS Open Payments, program year 2023, 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 2016–2022 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, 2017–2023; 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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25 | 23 | $191.00 | $103.56 |
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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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20 | 20 | $247.00 | $136.14 |
Source: CMS Part B by Provider and Service, 2023; 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 2017.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Furosemide | Furosemide | 31 | 1,122 | $93.65 | 13 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 28 | 805 | $303.48 | 13 |
| Metoprolol Tartrate | Metoprolol Tartrate | 19 | 720 | $71.67 | — |
| Hydralazine Hcl | Hydralazine Hcl | 19 | 650 | $196.55 | — |
| Carvedilol | Carvedilol | 18 | 540 | $81.49 | — |
| Metoprolol Succinate | Metoprolol Succinate | 16 | 465 | $209.09 | — |
| Ranexa | Ranolazine | 15 | 480 | $5,689.94 | — |
| Losartan Potassium | Losartan Potassium | 13 | 360 | $100.05 | — |
| Potassium Chloride | Potassium Chloride | 13 | 420 | $231.26 | — |
| Amiodarone Hcl | Amiodarone Hcl | 13 | 374 | $109.48 | — |
| Sotalol | Sotalol Hcl | 13 | 390 | $240.26 | — |
| Famotidine | Famotidine | 11 | 360 | $34.51 | — |
| Nitroglycerin | Nitroglycerin | 11 | 117 | $132.78 | — |
Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-03-04NUCC 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.
NUCC Taxonomy Code: 364SA2200X
NUCC Taxonomy Code: 364SG0600X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20150528000967
OH
2466772744
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Radiology - Vascular & Interventional Radiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3600 KOLBE RD STE 227, LORAIN, OH 440531601 (Tel: 4409604512)
Registered at 3600 KOLBE RD STE 227, LORAIN, OH 440531601 (Tel: 4409604512)
Clinical Nurse Specialist (license number reported to NPPES: OH AG1214053)
NPI status registered as active in NPPES database
Registered at 6100 ROCKSIDE WOODS BLVD N, SUITE 425, INDEPENDENCE, OH 441312366 (Tel: 2166432780)
Registered at 49382 STATE ROUTE 303, OBERLIN, OH 440749456 (Tel: 4402639750)
Recorded as JONI RUFFNER, NURSE PRACTITIONER
Nurse Practitioner (license number reported to NPPES: OH AG1214053)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Lorain
- Melissa Holtz, CNP
- Evangeline Garcia
- Amy Emerick, NP
- Kaitlin Davis, CNP
- Donna Smith, NP-C
- Merna Wilson, CNP
Mailing Address
3600 Kolbe Rd Ste 227
Lorain, OH 440531601
Phone: 4409604512