DR. JEROME RUSCEAK SKELLY (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1396729893
Geriatric Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,511 INTERNAL MEDICINE in IN
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Provider Addresses for DR. JEROME RUSCEAK SKELLY (M.D.)
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
1815, East Ireland Road, South Bend, Saint Joseph County, Indiana, 46614, United States
SOUTH BEND, IN 466142845
Phone: (574) 647-1700
Fax: (574) 647-1993
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-1610
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $381.
Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($182).
Total Amount
$381
General + Research + Ownership
Payments
22
Total payment records
General Amount
$381
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $182 |
| PFIZER INC. | $73 |
| Amgen Inc. | $46 |
| Novo Nordisk Inc | $18 |
| Otsuka America Pharmaceutical, 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: 2006-11-03
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 |
|---|---|---|---|---|
| I20061103000315 | I | Internal Medicine | IN | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 586 | 299 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 545 | 283 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 260 | 260 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 247 | 157 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 170 | 170 | $0 |
Insurance plans in this area (ZIP 46617)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IN | 90670 | Pneumococcal vaccine for injection into muscle | 61 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
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