Daniel Ruch , PA-C, ATC
Physician Assistant • Rockingham, VA
2006 Health Campus Dr
Rockingham, VA 228018679
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 December 21, 2012; this date does not establish years in practice.
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Published CMS data list 94 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.
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Published Part B service records, 2024:
- 99291 — Critical care: 33 service units.
- 76937 — Ultrasonic guidance for blood vessel access: 29 service units.
- 36620 — Insertion of artery tube for blood sampling or infusion through skin: 17 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 4 records in the table · Guide: How to read Medicare Part B data
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Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Rockingham, VA (2024, 19 clinicians with data). Median for this group: 229. Middle half: 141 to 360.
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 119 in 2020 to 94 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2006 Health Campus Dr
Rockingham, VA 228018679
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: Rmh Medical Group Llc. 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
Eastern Virginia Medical School
2015
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
52 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 $7,630 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 $5,757 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.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 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
2012
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)
Daniel 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 Daniel 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 Rockingham and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Rockingham, VA (2024, 19 clinicians with data). Median for this group: 229. Middle half: 141 to 360.
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Rockingham, VA (2024, 19 clinicians with data). Median for this group: $18,298. Middle half: $11,890 to $27,800.
A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $23,153. Middle half: $9,003 to $44,800.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Rockingham, VA (2024, 19 clinicians with data). Median for this group: $13,736. Middle half: $8,318 to $18,986.
A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $17,218. Middle half: $6,803 to $32,639.
32 active clinicians are listed under Physician Assistant with a practice address in Rockingham, VA (4,411 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Rockingham
0% of these 32 clinicians have the CMS telehealth indicator.
71.9% of these 32 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 21% from 119 in 2020 to 94 in 2024.
- 2020: 119
- 2021: 217
- 2022: 182
- 2023: 56
- 2024: 94
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Medicare-allowed amount
Medicare-allowed amount decreased 27% from $10,388 in 2020 to $7,630 in 2024.
- 2020: $10,388
- 2021: $24,575
- 2022: $15,200
- 2023: $4,667
- 2024: $7,630
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Paid by Medicare
Paid by Medicare decreased 30% from $8,258 in 2020 to $5,757 in 2024.
- 2020: $8,258
- 2021: $19,679
- 2022: $12,165
- 2023: $3,552
- 2024: $5,757
Sources: CMS Medicare Physician & Other Practitioners (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 |
|---|---|---|---|---|
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99291
Critical care, first 30-74 minutes
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33 | 33 | $407.94 | $172.49 |
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76937
Ultrasonic guidance for blood vessel access
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29 | 21 | $27.21 | $11.16 |
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36620
Insertion of artery tube for blood sampling or infusion through skin
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17 | 17 | $100.00 | $35.42 |
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36556
Insertion of non-tunneled central venous tube for infusion (5 years or older)
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15 | 15 | $325.13 | $67.49 |
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.
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: 2255A2300X
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20151020001995
VA
8123337813
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
Rmh Medical Group Llc
2010 Health Campus Dr, Rockingham, VA 228018679
Phone: 5406891110
Rmh Medical Group Llc
136 W Elizabeth St, Harrisonburg, VA 228023811
Rmh Medical Group Llc
2006 Health Campus Dr, Rockingham, VA 228018679
Rmh Medical Group Llc
2008 Health Campus Dr, Rockingham, VA 228018679
Phone: 5406897793
Rmh Medical Group Llc
2008 Health Campus Dr, Rockingham, VA 228018679
Phone: 5406897000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Family Nurse Practitioner
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Internal Medicine - Critical Care Medicine
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 2006 HEALTH CAMPUS DR, ROCKINGHAM, VA 228018679 (Tel: 5406895600)
Registered at PO BOX 1430, HARRISONBURG, VA 228031430 (Tel: 5406895600)
NPI status registered as active in NPPES database
Registered at 600 GRESHAM DR, SUITE 8630B, NORFOLK, VA 235071904 (Tel: 7573886115)
Registered at 600 GRESHAM DR, SUITE 8630B, NORFOLK, VA 235071904 (Tel: 7573886115)
Recorded as DANIEL RUCH, PA-C, ATC
Specialist/Technologist (license number reported to NPPES: VA 0126001379)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Rockingham
- Deonte Hope, PA
- Jeffrey Abraham
- Tynessa Hazelwood
- Miranda Nelson, PA
- Faizan Ahmad, PA-C
- Jason Wilson, PA
Mailing Address
Po Box 1430
Harrisonburg, VA 228031430
Phone: 5406895600