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Dr. Matthew Brian Rudolph , DO

Orthopaedic Surgery • Palestine, TX

Deactivated NPI 1629200308 Deactivated in NPPES Male Practitioner
Practice location in NPPES

4002 S Loop 256 Ste B
Palestine, TX 758018405

Phone: 9037315478

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of October 29, 2026; the reason is not published. The records below are historical. They do not show whether Dr. Matthew Rudolph currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date August 14, 2009
NPI Deactivation Date October 29, 2026
NPI Active Period 2009 – 2026

Practice Location & Contact Primary Location

Practice Address

4002 S Loop 256 Ste B

Palestine, TX 758018405

Telephone 9037315478
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Athens, TX; Tulsa, OK. 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 patients

178 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $36,906 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.

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 $26,043 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

125 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

$1,045 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 2025

All general payments: $446.74 across 7 records.

By nature of payment

  • Food and Beverage: $446.74 across 7 records.

Reporting-company totals (3 largest of 4)

  • Alafair Biosciences, Inc.: $200.35 across 1 record.
  • Shoulder Innovations, Inc.: $152.27 across 1 record.
  • Stryker Corporation: $62.76 across 4 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2009

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.

Enrolled in Medicare (PECOS)

Dr. Rudolph 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Rudolph as eligible to order or refer durable medical equipment (DME) for people with Medicare.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Palestine and Texas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, 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

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $446.74.

Manufacturer Payment Nature Product Type Amount ($)
Alafair Biosciences, Inc.
Food and Beverage
In-kind items and services
VersaWrap General $200.35
Shoulder Innovations, Inc.
Food and Beverage
Cash or cash equivalent
InSet System General $152.27
Biogen, Inc.
Food and Beverage
In-kind items and services
SKYCLARYS General $31.36
Stryker Corporation
Food and Beverage
In-kind items and services
PANGEA General $19.82
Stryker Corporation
Food and Beverage
In-kind items and services
GAMMA General $15.68
Stryker Corporation
Food and Beverage
In-kind items and services
— General $13.64
Stryker Corporation
Food and Beverage
In-kind items and services
GAMMA General $13.62

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

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
J1010 Injection, methylprednisolone acetate, 1 mg
1,720 13 $1.00 $0.13
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
82 65 $172.12 $85.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
76 76 $348.09 $159.73
73562 X-ray of knee, 3 views
41 26 $72.23 $37.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 29 $234.11 $115.97
20610 Aspiration and/or injection of fluid from large joint
36 23 $163.00 $68.76
73030 X-ray of shoulder, minimum of 2 views
33 25 $64.32 $32.54
73110 X-ray of wrist, minimum of 3 views
33 16 $74.07 $38.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
23 23 $101.30 $53.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $225.00 $106.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
18 18 $315.44 $124.36
73502 X-ray of hip, 2-3 views
17 16 $88.54 $44.45
73630 X-ray of foot, minimum of 3 views
16 11 $65.75 $31.70

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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 85 636 $752.95 41
Tramadol Hcl Tramadol Hcl 24 232 $157.18 11
Acetaminophen-Codeine Acetaminophen With Codeine 16 133 $135.29 —

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: 2024-07-15
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES TX P8727

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20140815001773

Enrollment State Jurisdiction

TX

PECOS Control ID

0840448791

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

744 W 9th St # H410

Tulsa, OK 741279020

Phone: 9185995949

744 W 9th St # H410

Tulsa, OK 741279020

Phone: 9185995949

1123 S Palestine St

Athens, TX 757513646

Phone: 1903675952

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1417244849

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
⚠️
NPI Profile Deactivated October 29, 2026

NPPES lists this NPI as deactivated as of October 29, 2026; the reason is not published.

📍
Updated Practice Location July 15, 2024

Registered at 4002 S LOOP 256 STE B, PALESTINE, TX 758018405 (Tel: 9037315478)

📍
Updated Business Mailing Address July 15, 2024

Registered at 4002 S LOOP 256 STE B, PALESTINE, TX 758018405 (Tel: 9037315478)

📍
Updated Business Mailing Address March 17, 2018

Registered at 1123 S PALESTINE ST, ATHENS, TX 757513646 (Tel: 9036759526)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Orthopaedic Surgery (license number reported to NPPES: TX P8727)

📍
Updated Business Mailing Address February 20, 2018

Registered at 1123 S PALESTINE ST, ATHENS, TX 757513646 (Tel: 9036759526)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2018

Orthopaedic Surgery (license number reported to NPPES: TX P8727)

✅
NPI Profile Active October 28, 2010

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 28, 2010

Registered at 744 W 9TH ST # H410, TULSA, OK 741279020 (Tel: 9185995949)

📍
Business Mailing Address (Initial Record) October 28, 2010

Registered at 744 W 9TH ST, TULSA, OK 741279020 (Tel: 9185995949)

👤
Provider Name / Credentials (Initial Record) October 28, 2010

Recorded as MATTHEW RUDOLPH, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2010

Orthopaedic Surgery (license number reported to NPPES: OK 4952)

🟢
Initial NPI Registration & Enumeration August 14, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629200308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2009
Last Update: July 15, 2024
Deactivation Date: October 29, 2026
Sole Proprietor: Yes

Mailing Address

4002 S Loop 256 Ste B

Palestine, TX 758018405

Phone: 9037315478

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.