RUDOLPH B. III RUSTIN (M.D.) – Surgery Physician, NPI 1679548614
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RUDOLPH B. III RUSTIN (M.D.)
Charlottesville Post Office, 1155, Seminole Trail, Westfield, Charlottesville, Albemarle County, Virginia, 22906, United States
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
Jefferson Park Avenue, Hereford Residential College, Charlottesville, Virginia, United States
4TH FLOOR
CHARLOTTESVILLE, VA 229033363
Phone: (434) 982-4411
Fax: (434) 924-2260
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $126.
Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Solventum Corporation ($111).
Total Amount
$126
General + Research + Ownership
Payments
2
Total payment records
General Amount
$126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solventum Corporation | $111 |
| Teleflex LLC | $15 |
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: 2020-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (892 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20151215002656 | I | General Surgery | VA | 2023-12-31 |
| I20200428002278 | I | General Surgery | GA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 37 | 24 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 19 | $0 |
Insurance plans in this area (ZIP 22906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Endocrinology | GA | |
| - | GA | |
| - | NV | |
| N E U R O L O G Y | TX | |
| - | GA |
Reviews
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