RUDOLF OTRUSINIK MD
NPI 1003922394
Internal Medicine - Cardiovascular Disease in Logan, UT

Q: What is Rudolf Otrusinik's NPI number?

The NPI number for Rudolf Otrusinik is 1003922394. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Rudolf Otrusinik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Rudolf Otrusinik was last updated on August 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment

1300 N 500 E, SUITE 320, LOGAN, UT 84341(435) 755-8200(435) 752-6094 Get Directions Write a Review

NPPES record last updated: August 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Rudolf Otrusinik Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUDOLF OTRUSINIK MD (NPI 1003922394) is an individual cardiovascular disease provider in Logan, Utah, licensed in Utah (95-292310-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1003922394

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameRUDOLF OTRUSINIKCredential: MD

Location Address1300 N 500 E, SUITE 320Logan, UT 84341-2408

Mailing AddressPo Box 27128Slc, UT 84127-0128 · (435) 755-8200 · Fax (435) 752-6094

Phone(435) 755-8200

Fax(435) 752-6094

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateAugust 21, 2006

Last NPPES UpdateAugust 13, 2010

✔ NPI 1003922394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in UT · 95-292310-1205

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1300 N 500 E, Logan, UT 84341

Open in Google Maps ↗

Other Identifiers 8

Other87-0569381UT · Tax Id

Medicaid805433000ID

Other060053972UT · Rr Medicare

Other107008634101UT · Selectcare

Medicare PIN000069109UT

Other581997UT · Dmba

Other53687UT · Pehp

Medicare ID-Type Unspecified005502202UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rudolf Otrusinik Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789576406

PECOS Enrollment IDI20060116000223

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

224 services187 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

165 services116 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

164 services133 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

162 services143 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

66 services63 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

55 services34 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

54 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

25 services25 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

22 services22 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

22 services19 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

22 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

15 services11 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Logan Regional Hospital

Acute Care Hospitals · Logan, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460015

Location1400 North 500 EastLogan, UT 84341 · Cache County

Emergency services Birthing friendly

Bear River Valley Hospital

Acute Care Hospitals · Tremonton, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460039

Location905 North 1000 WestTremonton, UT 84337 · Box Elder County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$84.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CACHE VALLEY CARDIOLOGY PC

Specialist

1300 N 500 E, SUITE 320
LOGAN, UT 84341

Cache County (435) 755-8200

DREW ANDERSON OCCUPATIONAL THERAPY

Occupational Therapist

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

JAMES GREG BLOTTER OTR

Occupational Therapist

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

DR. CAMERON GLADE PETERSON M.D.

Physical Medicine & Rehabilitation

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2800

BRYAN C KING MD

Orthopaedic Surgery

1300 N 500 E, #130
LOGAN, UT 84341

Cache County (435) 716-2800

NATHAN A YOUNG PT

Physical Therapist

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

WESS R GREENE PT

Physical Therapist

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

BRIAN THERALD LARSEN PT

Physical Therapist (Orthopedic)

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudolf Otrusinik's NPI number?

The NPI number for Rudolf Otrusinik is 1003922394. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Rudolf Otrusinik located?

Rudolf Otrusinik practices at 1300 N 500 E Suite 320, Logan, UT 84341. The listed phone number is (435) 755-8200.

What is Rudolf Otrusinik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rudolf Otrusinik enrolled in Medicare?

Yes. Rudolf Otrusinik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rudolf Otrusinik accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Rudolf Otrusinik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rudolf Otrusinik affiliated with any hospitals?

According to CMS data, Rudolf Otrusinik is affiliated with Mckay-Dee Hospital, Logan Regional Hospital and Bear River Valley Hospital.

When was this NPI record last updated?

The NPPES record for Rudolf Otrusinik was last updated on August 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.