RUSTIN G SORENSEN (PA-C) – Surgical Physician Assistant, NPI 1164433827
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for RUSTIN G SORENSEN (PA-C)
1950 BLUEWATER BLVD
SUITE 100
NICEVILLE, FL 32578
Phone: (850) 897-8081
Fax: (850) 897-3846
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)
CMS reports 7 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Bioventus LLC ($61).
Total Amount
$140
General + Research + Ownership
Payments
7
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $61 |
| Vericel Corporation | $42 |
| Medtronic, Inc. | $20 |
| DePuy Synthes Sales Inc. | $18 |
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: 2010-03-16
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 |
|---|---|---|---|---|
| I20100316000952 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 6,348 | 76 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 627 | 301 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 626 | 396 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 612 | 317 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 379 | 83 | $0 |
Insurance plans in this area (ZIP 32578)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 562 | 286 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | PA | |
| Otolaryngology, General Surgery | FL | |
| O T O L A R Y N G O L O G Y | KY | |
| General Surgery, Critical Care (Intensivists) | FL | |
| Orthopedic Surgery | FL | |
| Otolaryngology, Sleep Medicine | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| O P H T H A L M O L O G Y | FL | |
| Pain Management | FL |
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