LEE STUART RUSAKOW (MD) – Pediatric Pulmonology Physician, NPI 1710973532
Pediatric Pulmonology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
411 PULMONARY DISEASE in CO
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Provider Addresses for LEE STUART RUSAKOW (MD)
Physician Office Building One, 4545, East 9th Avenue, Denver, Denver County, Colorado, 80220, United States
SUITE 504
DENVER, CO 802203901
Phone: (303) 831-9853
Fax: (303) 832-3533
Type: Mailing
262 Danny Thomas Pl
Memphis, TN 381053678
Phone: (901) 595-3300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($39).
Total Amount
$85
General + Research + Ownership
Payments
5
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $39 |
| Electromed, Inc. | $28 |
| Breas Medical, Inc. | $19 |
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: 2024-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241206000947 | I | Pulmonary Disease | TN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MS | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Pediatric Medicine, Cardiovascular Disease (Cardiology), Interventional Cardiology | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| Nephrology, Pediatric Medicine, Nephrology, Pediatric Medicine | TX | |
| Internal Medicine, Nephrology, Pediatric Medicine, Nephrology | TN | |
| Pediatric Medicine, Nephrology | TX |
Reviews
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