Robert Plympton Rutter IV, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0102203944 Issued in VA

Practice address

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Phone

(910) 111-1111

NPI assigned

Apr 19, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, IN, FL, ME4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Diagnostic Radiology

Education

Lake Erie College of Osteopathic Medicine, Bradenton, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians

Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians

Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians

Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians

Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
• Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
• Major Hospital Hospital, Shelbyville, IN, CCN 150097
• Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ella E M Brown Charitable Circle

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467

  FL

  Medicare reassignment Care Compare group NPD
• Gainesville Radiology Group, PC

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1922037605

  FL, NC

  Medicare reassignment Care Compare group NPD
• Henry County Memorial Hospital

  • Family Medicine Physician
  • New Castle, IN
  • NPI 1891570537
  Medicare reassignment Care Compare group NPD
• Pacific Imaging Associates LLC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1265137574

  FL

  Medicare reassignment Care Compare group NPD
• Spectrum Healthcare Partners, PA

  • Diagnostic Radiology Physician
  • Portland, ME
  • NPI 1669488011

  FL

  Medicare reassignment Care Compare group NPD
• Summit Radiology P C

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1073584587

  FL, ME, NC

  Medicare reassignment Care Compare group NPD
• X-Ray Physicians of Shelbyville PC

  • Diagnostic Radiology Physician
  • Shelbyville, IN
  • NPI 1144351347

  FL, ME, NC

  Medicare reassignment Care Compare group NPD
• Reid Physician Associates, Inc.

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1265689111
  Medicare reassignment Care Compare group
• Greensboro Radiology, PA

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1821035999
  Medicare reassignment NPD
• Greene County General Hospital

  • Critical Access Hospital
  • Linton, IN
  • NPI 1184695389

  Emergency Medicine

  Medicare reassignment NPD
• Greene County General Hospital

  • Hospitalist Physician
  • Linton, IN
  • NPI 1942703004

  Emergency Medicine, FL

  Medicare reassignment NPD
• Hendricks County Radiology Inc

  • Diagnostic Radiology Physician
  • Danville, IN
  • NPI 1588703946

  FL

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• Iom Health System LP

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335
  Care Compare affiliation
• Maine Coast Regional Health Facilities

  • General Acute Care Hospital
  • Ellsworth, ME
  • NPI 1740249739
  Care Compare affiliation
• Mainehealth

  • Orthopaedic Trauma Physician
  • Portland, ME
  • NPI 1003113127

  Hospital

  Care Compare affiliation
• Mainehealth

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1023321593

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Scarborough, ME
  • NPI 1053647024
  Care Compare affiliation
• Mainehealth

  • Maternal & Fetal Medicine Physician
  • Portland, ME
  • NPI 1063726891

  Hospital

  Care Compare affiliation
• Mainehealth

  • Infectious Disease Physician
  • Portland, ME
  • NPI 1073701157

  Hospital

  Care Compare affiliation
• Mainehealth

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, ME
  • NPI 1164610242

  Hospital

  Care Compare affiliation
• Mainehealth

  • Pediatric Critical Care Medicine Physician
  • Portland, ME
  • NPI 1265536817

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1346267879
  Care Compare affiliation
• Mainehealth

  • Endocrinology, Diabetes & Metabolism Physician
  • Scarborough, ME
  • NPI 1356651038

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1821432972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 EAGLE HARBOR PKWY STE A",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034845",
            "telephone_number": "904-243-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "910-111-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3264",
            "fax_number": "765-983-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4735",
            "fax_number": "207-662-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921341098",
            "country_code": "US",
            "telephone_number": "619-532-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "ROBERT",
        "middle_name": "PLYMPTON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102203944",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "DO3597",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2022-00388",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02007049A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lee Russell, NAVY SOIDC
• Matthew Aaron Russell, D.M.D.
• Quaid A Russell, DDS
• Samantha Ingrid Rustia, DDS
• Anna Lynn Rutherford, M.D.
• Keith Ryan, MD
• Brent Joseph Rysewyk, IDC
• Zena Sabath, MD
• Rachel S. Saboski, PSY.D.
• Victoria Evans Sadler

• Diagnostic Radiology Physician in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.