KEVIN RYAN RUSHIN (PA-C) – Physician Assistant, NPI 1215405279

KEVIN RYAN RUSHIN (PA-C) is a healthcare provider. based in Rockwall, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA12610 (TX). The NPI Number for KEVIN RYAN RUSHIN (PA-C) is 1215405279

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN RYAN RUSHIN (PA-C)
NPI
1215405279
Phone
(972) 771-8111
Address
1301 SUMMER LEE DR
Enumeration Date
8 November 2018
Last Update Date
15 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9453209000
Graduation Year
2018 (8 years ago)
PAC ID
3870834062
Group Practice PAC ID
8325206584
Professional Enrollment ID
I20190417000528
Address ID
TX750484283SA4750XTPKE500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for KEVIN RYAN RUSHIN (PA-C)

  • 1301, Summer Lee Drive, Rockwall, Rockwall County, Texas, 75032, United States

    ROCKWALL, TX 750325452

    Phone: (972) 771-8111

    Fax: (972) 771-8103

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $675.

Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($219).

Total Amount

$675

General + Research + Ownership

Payments

17

Total payment records

General Amount

$675

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

View all Open Payments →|Open Payments Risk Radar →

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: 2019-04-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190417000528IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11221$0
99213Established patient office or other outpatient visit, 20-29 minutes3634$0
20610Aspiration and/or injection of fluid from large joint2524$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance1313$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 75032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325206584View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantTX
Physician AssistantTX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Orthopedic SurgeryTX
Physician AssistantTX
Orthopedic SurgeryTX
Orthopedic SurgeryNY

Reviews

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Frequently asked questions

How do I look up KEVIN RYAN RUSHIN (PA-C) by NPI?
Use NPI 1215405279 when you need to reference KEVIN RYAN RUSHIN (PA-C) in forms, claims, or directories.
Is KEVIN RYAN RUSHIN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KEVIN RYAN RUSHIN (PA-C)?
The page reflects Physician Assistant for KEVIN RYAN RUSHIN (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for KEVIN RYAN RUSHIN (PA-C)?
The page summarizes Rockwall, Texas for KEVIN RYAN RUSHIN (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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