Dr. Joshua Michael Ruch, MD

  • Grayling, MI
  • Hematologist and oncologist
NPI1770746257PAC ID1052558053
Medicare services, 2024
904
Medicare patients, 2024
305
Part D claims, 2024
1,462
Publications
4
Hospital affiliations
5
Practice address
1100 E Michigan Ave, Grayling, MI 49738
Practice phone
Call (989) 348-5461
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Munson Healthcare Grayling Hospital

Hospital · Grayling, Michigan

See all 11 affiliations

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Dr. Joshua Michael Ruch is a hematologist and oncologist in Grayling, Michigan

Dr. Ruch practices at Munson Healthcare Grayling Hospital in Grayling, Michigan, part of Munson Healthcare.

Dr. Ruch's NPI, 1770746257, was assigned on July 6, 2008. Dr. Ruch graduated from University of Iowa, RJ & L Carver College of Medicine in 2007. Dr. Ruch holds Michigan license 4301095800.

NPI and contact details
Medicare PAC ID
1052558053
NPI enumeration date
July 6, 2008
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(989) 348-5461
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Joshua Michael Ruch practices at Munson Healthcare Grayling Hospital in Grayling, Michigan

Dr. Ruch's primary practice is Munson Healthcare Grayling Hospital, at 1100 E Michigan Ave, Grayling, MI 49738 in Crawford County. The practice phone is (989) 348-5461.

Source: Dmand AI Affiliation Data

Dr. Joshua Michael Ruch is affiliated with 8 sites of care and 3 medical groups

Dr. Ruch's primary practice is Munson Healthcare Grayling Hospital in Grayling, Michigan, part of Munson Healthcare. Dr. Ruch is also affiliated with Munson Medical Center. The medical group on file is Munson Healthcare Endocrinology & Metabolism. Dmand AI also links Dr. Ruch to 3 more hospitals, 2 group practices and clinics, 2 medical groups and 1 hospice, each named with a free account.

See all 11 affiliations for Dr. Ruch

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Joshua Michael Ruch's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Ruch practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Munson Healthcare Grayling HospitalAvailable with a free account
+7 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every hospital where Dr. Ruch practices

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Dr. Joshua Michael Ruch is one of 298 hematologists and oncologists in Michigan

Hematology and oncology is Dr. Ruch's primary specialty in the NPI Registry, under taxonomy code 207RH0003X. Dr. Ruch is licensed in Michigan.

Specialties and state licenses

  • Hematology and oncology, MichiganPrimaryLicense 4301095800 · taxonomy 207RH0003X

Hematologists and oncologists near Dr. Ruch

Counts of hematologists and oncologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Joshua Michael Ruch billed Medicare for 904 services in 2024

CMS data shows 904 Medicare services from Dr. Ruch across 7 procedure codes in 2024, for 305 Medicare patients. Medicare paid $63,761 for them.

Medicare services, 2024904
Medicare patients305
Paid by Medicare$63,761
Procedure codes7

Dr. Ruch's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 7552024: 7116%
Other services
2023: 02024: 193

Where Dr. Ruch's Medicare services took place, 2024

  • In an office35539%
  • In a facility54961%

Dr. Ruch compared with the Michigan median for hematologists and oncologists, 2024

  • Dr. Ruch
  • Michigan median
Medicare services
904vs 61946% above
Medicare patients
305vs 22834% above
Part D claims
1,292vs 3783.4 times

Medians across 291 hematologists and oncologists in Michigan with Dmand AI profiles that report each measure.

Dr. Ruch's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Ruch

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Joshua Michael Ruch treated 305 Medicare patients in 2024, average age 74

CMS counts 305 Medicare patients who saw Dr. Ruch in 2024. The largest group is 65 to 74, with 141 patients. 74% of them have high cholesterol, and 70% have high blood pressure. 9% are also on Medicaid. Their average risk score is 1.91, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Ruch's median patient age at 73, with 45% women.

Medicare patients, 2024305
Average age74
Average risk score1.91
Also on Medicaid9%

Dr. Ruch's Medicare patients by age, 2024

Dr. Ruch's Medicare patients by sex, 2024

  • Women13544%
  • Men17056%

Chronic conditions among Dr. Ruch's Medicare patients, 2024

  1. High cholesterol74%
  2. High blood pressure70%
  3. Cancer47%
  4. Arthritis39%
  5. Ischemic heart disease29%
  6. Chronic kidney disease26%
  7. COPD25%
  8. Diabetes25%

Share of Medicare patients with each condition. A patient can have several.

Dr. Ruch's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 73

Patient panel by sex, all payers

  • Women45%
  • Men55%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Joshua Michael Ruch wrote 1,462 Medicare Part D claims in 2024

In 2024, Dr. Ruch wrote 1,462 Medicare Part D claims for 252 patients. 79% of them were for generic drugs. CMS names the drug for 1,292 of them, across 36 drugs with 11 or more claims each, at $4,167,080 in total drug cost. In 2023, CMS named 1,113 claims across 28 drugs.

Part D claims, 20241,462
Drugs named by CMS36
Total drug cost$4.2M
Part D patients252

Dr. Ruch's Part D claims by kind of drug, 2024

  • Generic1,155 claims79%
  • Brand-name307 claims21%

Dr. Ruch's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Ruch's Part D claims, 2024

  • Opioids2%29 of 1,462 claims
  • Antibiotics2%36 of 1,462 claims
  • Antipsychotics, patients 65 and over4%55 of 1,462 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,1132024: 1,29216%

Drugs named by CMS: 36 in 2024, 28 in 2023.

See all prescribing by Dr. Ruch

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Joshua Michael Ruch offers telehealth to Medicare patients

Dr. Ruch accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Ruch as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Joshua Michael Ruch has 4 publications on record

Dmand AI links 4 papers to Dr. Ruch in 2016. The most frequent topics are Adenocarcinoma, Anilides and Antineoplastic Combined Chemotherapy Protocols. Dr. Ruch's most frequent co-authors are Edward J. Kim, MD, PhD, Mark Michael Zalupski, MD and Kevin Camphausen, MD.

Papers4

Topics Dr. Ruch writes about most

  • Adenocarcinoma
  • Anilides
  • Antineoplastic Combined Chemotherapy Protocols
  • Deoxycytidine
  • Gemcitabine
  • Pancreatic Neoplasms
  • Pyridines

Dr. Ruch's most frequent co-authors

Recent publications by Dr. Ruch

See all 4 publications and co-authors

See who Dr. Ruch researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Ruch works with, so you can find a warm path to the right hematologists and oncologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Joshua Michael Ruch received $187 in industry payments from 2021 to 2024

CMS Open Payments shows 4 general payments to Dr. Ruch from 3 drug and device companies from 2021 to 2024. Education make up the largest share, 91% of the total. Gilead Sciences, Inc. paid the most, $160.

General payments to Dr. Ruch by program year, 2021 to 2024

General payments to Dr. Ruch by kind, 2021 to 2024

$187in total
  • Education$17191%
  • Food and beverage$169%

Companies that paid Dr. Ruch the most, 2021 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Ruch

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Joshua Michael Ruch graduated from University of Iowa, RJ & L Carver College of Medicine

Dr. Ruch graduated from University of Iowa, RJ & L Carver College of Medicine in 2007.

  1. Medical schoolUniversity of Iowa, RJ & L Carver College of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Joshua Michael Ruch's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Joshua Michael Ruch

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Joshua Michael Ruch's NPI number?

Dr. Joshua Michael Ruch's NPI number is 1770746257. It was assigned on July 6, 2008, and it is active in the NPI Registry.

What kind of doctor is Dr. Joshua Michael Ruch?

Dr. Joshua Michael Ruch is a hematologist and oncologist in Grayling, Michigan. The primary specialty in the NPI Registry is Hematology & Oncology Physician (taxonomy code 207RH0003X).

Where does Dr. Joshua Michael Ruch practice?

Dr. Ruch practices at 1100 E Michigan Ave, Grayling, MI 49738. Dr. Ruch's primary practice is Munson Healthcare Grayling Hospital in Grayling, Michigan, part of Munson Healthcare. Dmand AI also links Dr. Ruch to 3 hospitals, 2 group practices and clinics, 2 medical groups and 1 hospice.

What is Dr. Joshua Michael Ruch's office phone number?

The practice phone on file for Dr. Ruch is (989) 348-5461.

What is Dr. Joshua Michael Ruch's medical license number?

Dr. Ruch holds Michigan license 4301095800.

Which hospitals is Dr. Joshua Michael Ruch affiliated with?

Dr. Ruch practices at Munson Healthcare Grayling Hospital in Grayling, Michigan. Dr. Ruch is also affiliated with Munson Medical Center. Dmand AI links Dr. Ruch to 3 more hospitals.

What medical group is Dr. Joshua Michael Ruch part of?

Dr. Ruch is linked to Munson Healthcare Endocrinology & Metabolism. Dmand AI links Dr. Ruch to 2 more medical groups.

Does Dr. Joshua Michael Ruch accept Medicare?

Yes. CMS data shows Dr. Ruch billed Medicare for 904 services in 2024, and Dr. Ruch accepts Medicare assignment.

Does Dr. Joshua Michael Ruch offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Ruch as offering telehealth services.

How many Medicare patients does Dr. Joshua Michael Ruch see?

CMS counts 305 Medicare patients who saw Dr. Ruch in 2024, with an average age of 74.

Show 7 more questionsShow fewer questions

What services does Dr. Joshua Michael Ruch bill to Medicare?

In 2024, Dr. Ruch's most billed Medicare services were office visit, established patient (99214), office visit, established patient (99215) and medicare service (G2211).

Where did Dr. Joshua Michael Ruch go to medical school?

Dr. Ruch graduated from University of Iowa, RJ & L Carver College of Medicine in 2007.

What drugs does Dr. Joshua Michael Ruch prescribe most?

In 2024 Medicare Part D data, Dr. Ruch's most prescribed drugs by claims were Abiraterone Acetate, Prochlorperazine Maleate and Ondansetron HCl.

Has Dr. Joshua Michael Ruch received payments from drug or device companies?

CMS Open Payments shows $187 in general payments to Dr. Ruch from 3 companies from 2021 to 2024. The largest total came from Gilead Sciences, Inc.

How long has Dr. Joshua Michael Ruch been practicing?

Dr. Ruch graduated from medical school in 2007, 19 years ago.

Does Dr. Joshua Michael Ruch do research?

Dmand AI links 4 publications to Dr. Ruch.

Who does Dr. Joshua Michael Ruch publish with?

Dr. Ruch's most frequent co-authors are Edward J. Kim, MD, PhD (2 shared papers), Mark Michael Zalupski, MD (2 shared papers) and Kevin Camphausen, MD (1 shared paper).

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