DR. MARK C RUSTEN (MD) – Otolaryngology Physician, NPI 1912930777
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
179 OTOLARYNGOLOGY in KY
Provider Addresses for DR. MARK C RUSTEN (MD)
2605 Kentucky Ave
DOB 3, Suite 601
Paducah, KY 420033800
Phone: (270) 408-4368
Fax: (270) 408-3272
Type: Location
1000 W 10th St
Rolla, MO 654012905
Phone: (573) 458-8899
Fax: (573) 341-5611
Type: Location
1000 Gw Ln
Waynesville, MO 655832339
Phone: (573) 774-2715
Fax: (573) 202-2410
Type: Location
1050 W 10TH ST
ROLLA, MO 654012905
Phone: (573) 364-9000
Type: Mailing
2605, Kentucky Avenue, Paducah, McCracken County, Kentucky, 42003, United States
DOB 3, SUITE 601
PADUCAH, KY 420033800
Phone: (270) 408-4368
Fax: (270) 408-3272
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-03-14
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 |
|---|---|---|---|---|
| I20130314000299 | I | Otolaryngology | MO | 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 | 277 | 170 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 196 | 196 | $0 |
| 69210 | Removal of impacted ear wax | 132 | 94 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 71 | 47 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 67 | 62 | $0 |
Insurance plans in this area (ZIP 42003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| - | MO | |
| - | MO | |
| Radiation Oncology | MO | |
| Otolaryngology, Plastic And Reconstructive Surgery, Allergy/Immunology | MO | |
| - | MO | |
| Nephrology, Internal Medicine, Hospitalist | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Certified Nurse Midwife (Cnm) | MO |
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