David S. Ruch, M.D.
NPI 1356438998ActiveIndividual· Orthopaedic Surgery, Hand Surgery· Morrisville, NC
Orthopaedic Surgery, Hand Surgery (M.D.) in Morrisville, North Carolina, trained at Wake Forest University School of Medicine (class of 1988). Mostly services rather than prescriptions: Medicare paid $101,680 for 357 patients in 2024, with only 33 Part D claims. Acumed LLC was the largest of 4 companies reporting payments in 2025, $35,388 in all, mostly consulting fees.
Overview
| NPI | 1356438998 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 6, 2006 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Hand Surgery Primary | 207XS0106X | 39676 | NC |
| Orthopaedic Surgery | 207X00000X | 39676 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 357 |
|---|---|
| Services billed | 1,244 across 70 procedure codes |
| Paid by Medicare | $101,680 |
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 39 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $190.83 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Wake Forest University School of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Orthopedic Surgery |
Medical groups
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
Hospital affiliation
- Duke University HospitalDurham, NC
Industry payments (Open Payments)
- 2025$35,388 · 32 payments from 4 companies
- 2024$30,608 · 36 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Acumed LLC | $18,413 | 15 |
| Arthrosurface Incorporated | $15,064 | 4 |
| Osteocentric Technologies, Inc. | $1,893 | 12 |
| Tricoast Surgical Solutions LLC | $17.86 | 1 |
What the 2025 payments were for
- Consulting Fee$17,245 · 9 payments
- Royalty or License$16,957 · 16 payments
- Travel and Lodging$966.51 · 2 payments
- Food and Beverage$219.22 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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