Amy Carol Ruhoff, R.N., M.S.N., CNS
NPI 1114121852ActiveIndividual· Clinical Nurse Specialist, Adult Health· Portland, OR
Clinical Nurse Specialist, Adult Health (R.N., M.S.N., CNS) with Legacy Clinics LLC, practicing in Portland, Oregon. Their prescriptions cost Medicare Part D more than their services did: $833,697 for 4,064 claims, against $17,853 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 11 companies reporting payments in 2025, $470.40 in all, mostly food and beverage. Lists Legacy Emanuel Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1114121852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.N., M.S.N., CNS |
| Sole proprietor | No |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | Feb 9, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Nurse Specialist, Adult Health Primary | 364SA2200X | 201400304CNS-PP | OR |
| Registered Nurse | 163W00000X | 720806 | TX |
| Registered Nurse | 163W00000X | 201394481RN | OR |
| Clinical Nurse Specialist, Adult Health | 364SA2200X | 2007004619 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Clinical Nurse Specialist (Cns) (OR); Practitioner - Certified Clinical Nurse Specialist (Cns) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 198 |
|---|---|
| Services billed | 253 across 11 procedure codes |
| Paid by Medicare | $17,853 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,064 · 10,178 30-day fills |
|---|---|
| Patients | 594 |
| Total drug cost | $833,697 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Certified Clinical Nurse Specialist (Cns) |
| Telehealth | Offers telehealth |
Medical group
- Legacy Clinics LLCPortland, OR · 713 clinicians
Hospital affiliations
- Legacy Emanuel Medical CenterPortland, OR
- Legacy Good Samaritan Medical CenterPortland, OR
Industry payments (Open Payments)
- 2025$470.40 · 21 payments from 11 companies
- 2024$515.66 · 21 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $96.08 | 6 |
| Abiomed | $58.90 | 2 |
| Edwards Lifesciences Corporation | $55.75 | 2 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $51.47 | 2 |
| E.R. Squibb & Sons, L.L.C. | $42.34 | 2 |
What the 2025 payments were for
- Food and Beverage$470.40 · 21 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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