THOMAS C RUSHTON (MD) – Infectious Disease Physician, NPI 1740245018
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
731 INFECTIOUS DISEASE in FL
Provider Addresses for THOMAS C RUSHTON (MD)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 322078207
Phone: (904) 396-4886
Fax: (904) 398-0496
Type: Location
PO BOX 45443
SALT LAKE CITY, UT 841450443
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
Barboursville Post Office, 5285, Governor Barbour Street, Barboursville, Orange County, Virginia, 22923, United States
BARBOURSVILLE, WV 255044190
Phone: (304) 399-4405
Fax: (304) 399-2526
Type: Mailing
304, 1st Avenue, Huntington, Suffolk County, New York, 11731, United States
HUNTINGTON, WV 257021236
Phone: (304) 399-7213
Fax: (304) 399-7215
Type: Location
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 $198.
Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($57).
Total Amount
$198
General + Research + Ownership
Payments
7
Total payment records
General Amount
$198
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AIMMUNE THERAPEUTICS, INC. | $57 |
| Gilead Sciences, Inc. | $44 |
| Merck Sharp & Dohme LLC | $34 |
| ABBVIE INC. | $32 |
| Insmed, Inc. | $32 |
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: 2021-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20051230000262 | I | Infectious Disease | WV | TBD |
| I20210104002165 | I | Infectious Disease | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 766 | 270 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 348 | 180 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 266 | 252 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 142 | 87 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 67 | $0 |
Insurance plans in this area (ZIP 32207)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| H O S P I T A L I S T | UT | |
| - | UT | |
| Hospitalist, Internal Medicine | VA | |
| Internal Medicine | GA | |
| Family Practice | UT | |
| Hospitalist, Internal Medicine | FL | |
| H O S P I T A L I S T | UT | |
| R H E U M A T O L O G Y | UT | |
| Hospitalist, Internal Medicine | FL |
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