TYLER WILLIAM RUST (M.D.) – Diagnostic Radiology Physician, NPI 1033347133
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TYLER WILLIAM RUST (M.D.)
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
CMR 402 BOX 827
APO, AE 091800009
Phone:
Type: Mailing
51 MDG
UNIT 2060
APO, AP 962782060
Phone: (505) 784-8717
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Baxter Healthcare ($148).
Total Amount
$148
General + Research + Ownership
Payments
1
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $148 |
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: 2023-05-15
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 |
|---|---|---|---|---|
| I20230515002710 | I | Diagnostic Radiology | CO | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,275 | 15 | $0 |
| 77067 | Screening mammography | 405 | 405 | $0 |
| 77063 | Screening 3d breast mammography | 404 | 404 | $0 |
| 71045 | X-ray of chest, 1 view | 343 | 295 | $0 |
| 71046 | X-ray of chest, 2 views | 148 | 146 | $0 |
Insurance plans in this area (ZIP 55344)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | CO | |
| Interventional Radiology, Diagnostic Radiology | OR | |
| Physician Assistant | OK | |
| Diagnostic Radiology | CO | |
| Interventional Radiology | CA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | FL | |
| Interventional Radiology, Diagnostic Radiology, Nuclear Medicine | CO | |
| Diagnostic Radiology | CO |
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