RORY MACK RUSKOVICH (PA-C) – Physician Assistant, NPI 1679199863
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
356 PHYSICIAN ASSISTANT in HI
Provider Addresses for RORY MACK RUSKOVICH (PA-C)
91-6390 KAPOLEI PKWY STE 200
EWA BEACH, HI 967066380
Phone: (808) 691-8200
Type: Mailing
277 Ohua Ave
Honolulu, HI 968153695
Phone: (808) 922-4787
Fax: (808) 922-4950
Type: Location
71 PARADISE RD
GRANGEVILLE, ID 835305321
Phone: (208) 819-2476
Type: Mailing
277 OHUA AVE
HONOLULU, HI 968153695
Phone: (808) 922-4787
Fax: (808) 922-4950
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $731.
Total Amount is formed as General ($731) + Research ($0) + Ownership ($0) = $731.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ViiV Healthcare Company ($665).
Total Amount
$731
General + Research + Ownership
Payments
38
Total payment records
General Amount
$731
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $665 |
| Merck Sharp & Dohme LLC | $34 |
| Janssen Biotech, Inc. | $16 |
| Indivior Inc. | $16 |
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: 2020-10-01
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 |
|---|---|---|---|---|
| I20201001000645 | I | Physician Assistant | HI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 137 | 130 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 30 | $0 |
| 81003 | Automated urinalysis test | 21 | 21 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 17 | 17 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 96706)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| Diagnostic Radiology | MD | |
| Internal Medicine | HI | |
| H O S P I T A L I S T | KY | |
| Nurse Practitioner | HI | |
| Interventional Radiology, Neurosurgery | MD | |
| Family Practice | NY | |
| Internal Medicine | HI | |
| Interventional Cardiology, Internal Medicine | MT | |
| Geriatric Medicine, Internal Medicine | HI |
Reviews
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