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DR. RAPHAEL ALEXANDER RUSYNYK D.O.
NPI 1023047297
Internal Medicine - Gastroenterology in Santa Rosa Beach, FL

Active since July 01, 2006PECOS Enrolled
96.6/100
CMS Quality Rating
141 MACK BAYOU LOOP STE 101, SANTA ROSA BEACH, FL 32459(850) 863-5990(850) 862-0041 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2020, Dec 10, 2020, Sep 18, 2020 (3 updates tracked since 2020).

About Dr. Raphael Alexander Rusynyk D.o. NPPES

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

DR. RAPHAEL ALEXANDER RUSYNYK D.O. (NPI 1023047297) is an individual gastroenterology provider in Santa Rosa Beach, Florida, licensed in Florida (OS8902) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023047297
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAPHAEL ALEXANDER RUSYNYKCredential: D.O.
Location Address141 MACK BAYOU LOOP STE 101Santa Rosa Beach, FL 32459-7194
Mailing Address417a Racetrack Rd Nw Ste 2Fort Walton Beach, FL 32547-4604 · (850) 863-5990 · Fax (850) 862-0041
Phone(850) 863-5990
Fax(850) 862-0041
Sole ProprietorYes
Enumeration DateJuly 1, 2006
Last NPPES UpdateDecember 15, 20203 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1023047297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · OS8902
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
141 MACK BAYOU LOOP STE 101, Santa Rosa Beach, FL 32459
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Other Identifiers 1

Medicaid266728200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raphael Alexander Rusynyk D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Raphael Rusynyk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Medical Group LLC
57 mi
Hematology & Oncology
125 BAPTIST WAY STE 6A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 241 clinicians in this Medicare group
NPI 1376779892 (448) 227-8053
Florida Digestive Health Specialists, LLP
309 mi
Gastroenterology
10920 TECHNOLOGY TER
Lakewood Ranch, FL 34211
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
NPI 1518267327 (941) 757-4810

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.
116 services116 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.
59 services53 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
58 services58 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
58 services58 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
57 services57 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32459 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. CHERI COLAGROSS DUNN D.O.,O.D.,M.P.H.
Family Medicine
141 MACK BAYOU LOOP STE 101
SANTA ROSA BEACH, FL 32459
Walton County (850) 267-3498
SUSAN RENE FERGUSON PA-C
Physician Assistant (Medical)
141 MACK BAYOU LOOP STE 101
SANTA ROSA BEACH, FL 32459
Walton County (850) 863-5990

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 Raphael Rusynyk's NPI number?

The NPI number for Raphael Rusynyk is 1023047297. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Raphael Rusynyk located?

Raphael Rusynyk practices at 141 Mack Bayou Loop Ste 101, Santa Rosa Beach, FL 32459. The listed phone number is (850) 863-5990.

What is Raphael Rusynyk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Raphael Rusynyk enrolled in Medicare?

Yes. Raphael Rusynyk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raphael Rusynyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Rusynyk reassigns Medicare benefits to 2 organizations: Baptist Medical Group LLC (Pensacola, FL) and Florida Digestive Health Specialists, LLP (Lakewood Ranch, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raphael Rusynyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raphael Rusynyk accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Raphael Rusynyk 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.

When was this NPI record last updated?

The NPPES record for Raphael Rusynyk was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.