Dr. Ruby Risal , MD
Internal Medicine - Pulmonary Disease โข Gettysburg, PA
40 V Twin Dr Ste 205
Gettysburg, PA 173257878
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Ruby Risal is listed in NPPES under Internal Medicine - Pulmonary Disease.
-
NPI assigned on June 29, 2017; this date does not establish years in practice.
-
Published CMS data list 883 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.
-
Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 590 service units.
- 99204 โ New patient outpatient office visit: 128 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: 123 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
-
Published CMS data list 2,439 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.
-
Published Part D records, 2024:
- Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) โ 669 prescription fills, including refills.
- Albuterol Sulfate Hfa (Albuterol Sulfate) โ 268 prescription fills, including refills.
- Montelukast Sodium โ 201 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 35 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 60% of clinicians listed under Internal Medicine - Pulmonary Disease in Pennsylvania (2024, 551 clinicians with data). Median for this group: 668. Middle half: 298 to 1,199.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 55 in 2022 to 883 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
40 V Twin Dr Ste 205
Gettysburg, PA 173257878
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: Wellspan Medical Group. 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
2009
What Public CMS Data Show
Internal Medicine - Pulmonary Disease: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
568 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 $95,434 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 $70,575 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
3,231 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
$942,246 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.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $65.55 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
Years since graduation
17 years (graduated 2009)
CMS Doctors and Clinicians data list 2009 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
2017
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)
Dr. Risal 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. Risal 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 Gettysburg and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Internal Medicine - Pulmonary Disease in Pennsylvania (2024, 551 clinicians with data). Median for this group: 668. Middle half: 298 to 1,199.
Too few clinicians listed under Internal Medicine - Pulmonary Disease in Gettysburg have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Internal Medicine - Pulmonary Disease in Pennsylvania (2024, 551 clinicians with data). Median for this group: $62,301. Middle half: $32,372 to $111,380.
Too few clinicians listed under Internal Medicine - Pulmonary Disease in Gettysburg have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Internal Medicine - Pulmonary Disease in Pennsylvania (2024, 551 clinicians with data). Median for this group: $48,397. Middle half: $25,001 to $85,597.
Too few clinicians listed under Internal Medicine - Pulmonary Disease in Gettysburg have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Internal Medicine - Pulmonary Disease in Pennsylvania (2024, 519 clinicians with data). Median for this group: 805. Middle half: 274 to 1,566.
Too few clinicians listed under Internal Medicine - Pulmonary Disease in Gettysburg have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Internal Medicine - Pulmonary Disease in Pennsylvania (2024, 519 clinicians with data). Median for this group: $383,604. Middle half: $121,405 to $805,153.
Too few clinicians listed under Internal Medicine - Pulmonary Disease in Gettysburg have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Internal Medicine - Pulmonary Disease with a practice address in Gettysburg, PA (780 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
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 increased 1505% from 55 in 2022 to 883 in 2024.
- 2022: 55
- 2023: 537
- 2024: 883
-
Medicare-allowed amount
Medicare-allowed amount increased 1297% from $6,833 in 2022 to $95,434 in 2024.
- 2022: $6,833
- 2023: $66,271
- 2024: $95,434
-
Paid by Medicare
Paid by Medicare increased 1225% from $5,328 in 2022 to $70,575 in 2024.
- 2022: $5,328
- 2023: $49,866
- 2024: $70,575
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 1693% from 136 in 2018 to 2,439 in 2024.
- 2018: 136
- 2019: 39
- 2022: 50
- 2023: 1,105
- 2024: 2,439
-
30-day fills
30-day fills increased 1461% from 207 in 2018 to 3,231 in 2024.
- 2018: 207
- 2019: 47
- 2022: 68
- 2023: 1,370
- 2024: 3,231
-
Part D drug cost
Part D drug cost increased 41239% from $2,279 in 2018 to $942,246 in 2024.
- 2018: $2,279
- 2019: $731
- 2022: $20,492
- 2023: $445,200
- 2024: $942,246
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $20.64 in 2021 to $65.55 in 2024.
- 2021: $20.64
- 2022: $41.16
- 2024: $65.55
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $65.55.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $65.55 |
Source: CMS Open Payments, program year 2024, 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 |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
590 | 439 | $185.69 | $119.95 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
128 | 128 | $284.83 | $157.13 |
|
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
|
123 | 122 | $32.00 | $15.67 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
29 | 28 | $129.79 | $84.25 |
|
99406
Smoking and tobacco use intensive counseling, 4-10 minutes
|
13 | 12 | $26.00 | $13.88 |
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 |
|---|---|---|---|---|---|
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 669 | 26,010 | $542,075.33 | 141 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 268 | 6,426 | $8,328.18 | 114 |
| Montelukast Sodium | Montelukast Sodium | 201 | 11,109 | $2,542.62 | 63 |
| Azithromycin | Azithromycin | 150 | 3,296 | $1,069.30 | 63 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 146 | 5,940 | $89,643.29 | 34 |
| Prednisone | Prednisone | 124 | 2,762 | $312.41 | 55 |
| Breo Ellipta | Fluticasone/Vilanterol | 107 | 4,590 | $58,088.00 | 21 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 79 | 3,300 | $65,745.40 | 28 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 60 | 2,820 | $12,639.20 | 25 |
| Arnuity Ellipta | Fluticasone Furoate | 57 | 1,950 | $14,767.47 | 16 |
| Incruse Ellipta | Umeclidinium Bromide | 54 | 1,980 | $22,604.19 | 12 |
| Roflumilast | Roflumilast | 54 | 1,942 | $7,249.86 | 14 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 49 | 2,175 | $13,270.71 | 14 |
| Ventolin Hfa | Albuterol Sulfate | 38 | 841 | $2,338.82 | 25 |
| Advair Hfa | Fluticasone Propion/Salmeterol | 37 | 1,110 | $14,446.62 | โ |
| Ropinirole Hcl | Ropinirole Hcl | 30 | 964 | $75.29 | โ |
| Fluticasone Propionate | Fluticasone Propionate | 29 | 1,382 | $226.94 | 13 |
| Breyna | Budesonide/Formoterol Fumarate | 26 | 841 | $4,851.32 | โ |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 24 | 720 | $11,048.72 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 21 | 172 | $187.29 | 21 |
| Spiriva Respimat | Tiotropium Bromide | 19 | 1,290 | $21,224.93 | โ |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 18 | 1,020 | $513.21 | โ |
| Levofloxacin | Levofloxacin | 17 | 125 | $85.32 | 15 |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 17 | 800 | $12,959.36 | โ |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 15 | 750 | $293.58 | 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
Self-certified to NPPES: 2022-06-27NUCC Taxonomy Code: 207RP1001X
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PULMONARY DISEASE
I20220613002051
PA
1355685926
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
Wellspan Medical Group
40 V Twin Dr, Gettysburg, PA 173257878
Phone: 7173392790
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 - Rheumatology
Doctor of Medicine (M.D.)
Internal Medicine - Endocrinology, Diabetes & Metabolism
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Certified Registered Nurse Practitioner
Nurse Practitioner - Family
Certified Registered Nurse Practitioner
Physical Medicine & Rehabilitation - Pain Medicine
Doctor of Medicine (M.D.), JD, Master of Business Administration, LLM, Master of Science
Internal Medicine - Rheumatology
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 40 V TWIN DR STE 205, GETTYSBURG, PA 173257878 (Tel: 7173392790)
Registered at 3421 CONCORD RD, YORK, PA 174029001 (Tel: 7173392790)
Recorded as RUBY RISAL, MD
Internal Medicine (license number reported to NPPES: PA MD477158)
NPI status registered as active in NPPES database
Registered at 1545 ATLANTIC AVE, BROOKLYN, NY 112131122 (Tel: 7186134000)
Registered at 1545 ATLANTIC AVE, BROOKLYN, NY 112131122
Recorded as RUBY RISAL
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
3421 Concord Rd
York, PA 174029001
Phone: 7173392790