Active NPI
Thomas Franklin Rutherford III, DO
- Hospitalist Physician
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036165379
- Practice address
- 176 W Mound Rd
Decatur, IL 62526-1964 - Phone
- (217) 875-0163
- NPI assigned
- May 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 312615 | LA | |
| Pediatrics Physician | 208000000X | 036-165379 | IL | |
| Hospitalist Physician | 208M00000X | 036165379 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036-165379 | IL | |
| Pediatrics Physician | 208000000X | 312615 | LA |
Addresses
Primary practice location
176 W Mound Rd
Decatur, IL 62526-1964
Mailing address
176 W Mound Rd
Decatur, IL 62526-1964
Phone (217) 875-0163
Other practice location 1
401 Matthew Street
Emergency Department
Marietta, OH 45750
Phone (740) 568-5669
Other practice location 2
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5915
Other practice location 3
1004 Health Center Dr Ste 201
Mattoon, IL 61938-4605
Phone (217) 238-4961
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trutherford394210@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Liberty Univ College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 W Mound Rd
Decatur, IL 62526-1964
Phone (217) 391-8730
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966
Hospital & facility affiliations
- HSHS Home Care Illinois
- St Marys Hospital
- St Anthonys Memorial Hospital
- St Johns Hospital
- Decatur Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.63
- Improvement activities
- 40
- Cost
- 81.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312615 | LA | MD | Internal Medicine Physician |
| 036165379 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-Illinois Hospitalists | Multi-Specialty | Current | Accepting new patients |
| HSHS Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Multi-Specialty | Current | Accepting new patients |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Multi-Specialty | Current | Accepting new patients |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
176 W Mound Rd
Decatur, IL 62526
Phone (217) 391-8730
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
Interoperability endpoints
- trutherford394210@ewd.direct.hshs.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
Multi-Specialty
-
- Hospitalist Physician
- Greenville, IL
- NPI 1023517935
Multi-Specialty
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
-
- Home Health Agency
- Effingham, IL
- NPI 1891758678
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1225527138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 W MOUND RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261964",
"telephone_number": "217-875-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 W MOUND RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261964",
"telephone_number": "217-875-0163"
}
],
"practiceLocations": [
{
"address_1": "401 Matthew Street",
"address_2": "Emergency Department",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "OH",
"postal_code": "45750",
"country_code": "US",
"telephone_number": "740-568-5669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-675-5915",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1004 Health Center Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384605",
"country_code": "US",
"telephone_number": "217-238-4961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "THOMAS",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-07",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "312615",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-165379",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036165379",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-165379",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "LA",
"license": "312615",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trutherford394210@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "176 W Mound Rd",
"city": "Decatur",
"state": "IL",
"country_code": "US",
"postal_code": "625261964",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.