RUDOLF OTRUSINIK (MD) – Cardiovascular Disease Physician, NPI 1003922394
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
216 CARDIOVASCULAR DISEASE (CARDIOLOGY) in UT
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Provider Addresses for RUDOLF OTRUSINIK (MD)
PO BOX 27128
SLC, UT 841270128
Phone: (435) 755-8200
Fax: (435) 752-6094
Type: Mailing
1300, North 500 East, Logan, Cache County, Utah, 84341, United States
SUITE 320
LOGAN, UT 843412408
Phone: (435) 755-8200
Fax: (435) 752-6094
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.
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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: 2006-01-16
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 |
|---|---|---|---|---|
| I20060116000223 | I | Cardiovascular Disease (Cardiology) | UT | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 176 | 158 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 103 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 98 | 90 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 82 | 82 | $0 |
Insurance plans in this area (ZIP 84127)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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