DR. RAPHAEL ALEXANDER RUSYNYK (D.O.) – Gastroenterology Physician, NPI 1023047297
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for DR. RAPHAEL ALEXANDER RUSYNYK (D.O.)
417A RACETRACK RD NW STE 2
FORT WALTON BEACH, FL 325474604
Phone: (850) 863-5990
Fax: (850) 862-0041
Type: Location
141 MACK BAYOU LOOP STE 101
SANTA ROSA BEACH, FL 324597194
Phone: (850) 863-5990
Fax: (850) 862-0041
Type: Location
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.
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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: 2012-01-04
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 |
|---|---|---|---|---|
| I20120104000222 | I | Gastroenterology | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 92 | 91 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 74 | 72 | $0 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 73 | 71 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 71 | 71 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 60 | 60 | $0 |
Insurance plans in this area (ZIP 32547)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| - | FL | |
| Internal Medicine, Gastroenterology | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL |
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