Charles Craig Rudy, - Medicare Sports Medicine in Portland, OR

  1. Home
  2. Emergency Medicine
  3. OR
  4. Portland
Charles Craig Rudy, is a medicare enrolled "Emergency Medicine" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Emergency Medicine Specialists, Llc, Oregon Health And Sciences University/university Medical Group and his current practice location is 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8220.

Charles Craig Rudy is licensed to practice in Oregon (license number MD192953) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588097117.

Contact Information

Charles Craig Rudy,
3181 Sw Sam Jackson Park Rd, Ohsu,
Portland, OR 97239-3011
(503) 494-8220
Not Available

Map and Direction




Physician's Profile

Full NameCharles Craig Rudy
GenderMale
SpecialitySports Medicine
Experience8 Years
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Craig Rudy attended and graduated from Oregon Health Sciences University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1588097117
  • Provider Enumeration Date: 08/19/2013
  • Last Update Date: 07/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810283355
  • Enrollment ID: I20190604003038

Medical Identifiers

Medical identifiers for Charles Craig Rudy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588097117NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD192953 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Willamette Falls Medical CenterOregon city, ORHospital
Ohsu Hospital And ClinicsPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Medicine Specialists, Llc448675363916
Oregon Health And Sciences University/university Medical Group48807601071479

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Craig Rudy allows following entities to bill medicare on his behalf.
Entity NameNorthwest Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235172370
PECOS PAC ID: 3476462334
Enrollment ID: O20050506000187
Entity NameOregon Health & Science University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417969304
PECOS PAC ID: 1759328842
Enrollment ID: O20050516000173
Entity NameEmergency Medicine Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851434815
PECOS PAC ID: 4486753639
Enrollment ID: O20070628000380
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Craig Rudy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Craig Rudy,
3181 Sw Sam Jackson Park Rd, Ohsu,
Portland, OR 97239-3011

Ph: (503) 494-8220		Charles Craig Rudy,
3181 Sw Sam Jackson Park Rd, Ohsu,
Portland, OR 97239-3011

Ph: (503) 494-8220

Reviews and Comments


Emergency Medicine Doctors in Portland, OR

Kimberly Lauren Imbesi, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8211    Fax: 503-346-8021
Dr. Hani Darwich, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10123 Se Market St, Portland, OR 97216
Phone: 503-252-2004    
Dr. Robert Thomas Martin, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4805 Ne Glisan St, Portland, OR 97213
Phone: 503-297-6334    Fax: 503-297-2360
Dr. Jessica Slim, M.D., M.P.H.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-7551    Fax: 503-494-4997
Robert Barriatua, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10123 Se Market St, Portland, OR 97216
Phone: 503-252-2004    
Carolyn N Rhett, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210
Phone: 503-413-7260    
Dr. Ross Emery Bryan Iv, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239
Phone: 503-494-1270    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.