ANDREW RUSNAK (M.D.) – Family Medicine Physician, NPI 1710967401

ANDREW RUSNAK (M.D.) is a healthcare provider. based in Chula vista, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A55149 (CA). The NPI Number for ANDREW RUSNAK (M.D.) is 1710967401

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW RUSNAK (M.D.)
NPI
1710967401
Phone
(619) 585-4000
Address
525 3RD AVE
Enumeration Date
19 January 2006
Last Update Date
26 September 2016

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
8584992600
Graduation Year
1994 (32 years ago)
PAC ID
6608164413
Group Practice PAC ID
8628972759
Professional Enrollment ID
I20161011002510
Address ID
CA919105616CH525XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for ANDREW RUSNAK (M.D.)

  • 525, 3rd Avenue, Chula Vista, San Diego County, California, 91912, United States

    CHULA VISTA, CA 919105616

    Phone: (619) 585-4000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161011002510IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes191189$0
81003Automated urinalysis test4241$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
99213Established patient office or other outpatient visit, 20-29 minutes2727$0
87804Detection test by immunoassay with direct visual observation for influenza virus2613$0
View full utilization report →

Insurance plans in this area (ZIP 91910)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628972759View full group profile
NameSpecialtyState
Internal MedicineCA
Family PracticeCA
-CA
G A S T R O E N T E R O L O G YCA
Family PracticeCA
Physical Therapist In Private PracticeCA
-CA
Orthopedic Surgery, Sports MedicineNY
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Where can patients find ANDREW RUSNAK (M.D.)'s NPI?
You can confirm ANDREW RUSNAK (M.D.) with NPI 1710967401; it appears in the national provider directory.
Does this profile mean ANDREW RUSNAK (M.D.) is currently active?
Yes — ANDREW RUSNAK (M.D.) appears active in the national provider directory.
Can you summarize ANDREW RUSNAK (M.D.)'s specialty in plain language?
Clinically, the directory lists ANDREW RUSNAK (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is ANDREW RUSNAK (M.D.)'s primary listing?
We display Chula Vista, California because that is what the record indicates for ANDREW RUSNAK (M.D.).
Is ANDREW RUSNAK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1710967401. Always confirm identity and privileges with the practice and licensing boards.

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