SAMUEL ELEAZAR RUSKIN (MD) – Diagnostic Radiology Physician, NPI 1043432495
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,709 PEDIATRIC MEDICINE in OH
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Provider Addresses for SAMUEL ELEAZAR RUSKIN (MD)
3515, Autumn Drive, Long Meadow Estates, Pikesville, Baltimore County, Maryland, 21208, United States
BALTIMORE, MD 212083014
Phone: (773) 326-5787
Type: Mailing
Fairview Hospital, 18101, Lorain Avenue, Kamms Corners, Cleveland, Cuyahoga County, Ohio, 44111, United States
CLEVELAND, OH 441115612
Phone: (216) 476-7000
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: 2011-07-14
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 |
|---|---|---|---|---|
| I20110714000471 | I | Pediatric Medicine | OH | 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 |
|---|---|---|---|---|
| 74177 | Ct scan of abdomen and pelvis with contrast | 194 | 194 | $0 |
| 71045 | X-ray of chest, 1 view | 192 | 179 | $0 |
| 74183 | Mri scan of abdomen before and after contrast | 156 | 155 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 155 | 154 | $0 |
| 72197 | Mri scan of pelvis before and after contrast | 131 | 130 | $0 |
Insurance plans in this area (ZIP 21208)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PEDIATRIC MEDICINE | OH | 71010 | X-ray of chest, 1 view, front | 355 | 318 |
| PEDIATRIC MEDICINE | OH | 71250 | CT scan chest | 27 | 27 |
| PEDIATRIC MEDICINE | OH | 73630 | X-ray of foot, minimum of 3 views | 16 | 15 |
| PEDIATRIC MEDICINE | OH | 74177 | CT scan of abdomen and pelvis with contrast | 85 | 85 |
| PEDIATRIC MEDICINE | OH | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 22 | 22 |
| PEDIATRIC MEDICINE | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 16 | 15 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN | |
| Nurse Practitioner | OH |
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