WALTER CLIFFORD RUSTMANN (DO) – Internal Medicine Physician, NPI 1235116054

WALTER CLIFFORD RUSTMANN (DO) is a healthcare provider. based in Fort walton beach, Florida. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials DO. They hold a License No. OS13675 (FL). The NPI Number for WALTER CLIFFORD RUSTMANN (DO) is 1235116054

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
WALTER CLIFFORD RUSTMANN (DO)
NPI
1235116054
Phone
(850) 243-0118
Address
1005 MAR WALT DRIVE
Enumeration Date
22 December 2005
Last Update Date
16 January 2017

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
8508623979
Graduation Year
2016 (10 years ago)
PAC ID
0042251506
Group Practice PAC ID
5092753772
Professional Enrollment ID
I20160209002010
Address ID
FL325476651FO917XXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

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Provider Addresses for WALTER CLIFFORD RUSTMANN (DO)

  • 1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    PULMONOLOGY DEPARTMENT

    FORT WALTON BEACH, FL 325476796

    Phone: (850) 243-0118

    Fax: (850) 243-0594

    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 55 Open Payments records for all available years, with a total value of $1,076.

Total Amount is formed as General ($1,076) + Research ($0) + Ownership ($0) = $1,076.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Electromed, Inc. ($231).

Total Amount

$1,076

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,076

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050516000575IPulmonary DiseaseTXTBD
I20160209002010ICritical Care (Intensivists)FLTBD
I20211015001053ICritical Care (Intensivists)ALTBD

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
99291Critical care, first 30-74 minutes571274$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12085$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10388$0
G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation102100$0
94060Test to measure expiratory airflow and volume changes before and after medication administration6262$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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Provider's Procedures

WALTER CLIFFORD RUSTMANN (DO) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEFL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration6058

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: 5092753772View full group profile
NameSpecialtyState
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists)NY
Infectious DiseaseFL
P O D I A T R YFL
R H E U M A T O L O G YWI
Nurse PractitionerFL
Infectious Disease, Internal MedicineFL
Infectious Disease, Internal MedicineIL
Infectious DiseaseGA
Infectious Disease, Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify WALTER CLIFFORD RUSTMANN (DO) with an NPI only?
You can start verification with NPI 1235116054 for WALTER CLIFFORD RUSTMANN (DO), then check state licensing separately.
Can I rely on WALTER CLIFFORD RUSTMANN (DO) being an active provider?
As of the registry snapshot, WALTER CLIFFORD RUSTMANN (DO) is marked active.
What taxonomy line describes WALTER CLIFFORD RUSTMANN (DO)?
For research purposes, treat WALTER CLIFFORD RUSTMANN (DO) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does WALTER CLIFFORD RUSTMANN (DO) serve?
WALTER CLIFFORD RUSTMANN (DO)'s listing highlights Fort Walton Beach, Florida; more addresses can appear in NPPES.
Is the information about WALTER CLIFFORD RUSTMANN (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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Unknown Individual

Internal Medicine Physician
1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
NPI: 1255316394