MARTIN WALTER PRUSS MD
NPI 1053363861
Family Medicine in Russiaville, IN

Q: What is Martin Pruss's NPI number?

The NPI number for Martin Pruss is 1053363861. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Martin Pruss's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Martin Pruss was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

3309 S 750 W, RUSSIAVILLE, IN 46979(765) 883-2273(765) 883-5168 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 27, 2021, Oct 19, 2020 (2 updates tracked since 2020).

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About Martin Walter Pruss Md NPPES

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

MARTIN WALTER PRUSS MD (NPI 1053363861) is an individual family medicine provider in Russiaville, Indiana, licensed in Indiana (01073482A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1994).

NPPES Registry Identity

NPI1053363861

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARTIN WALTER PRUSSCredential: MD

Location Address3309 S 750 WRussiaville, IN 46979-9146

Mailing Address3309 S 750 WRussiaville, IN 46979-9146 · (765) 883-2273 · Fax (765) 883-5168

Phone(765) 883-2273

Fax(765) 883-5168

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1994

Enumeration DateMay 17, 2006

Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2021

✔ NPI 1053363861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01073482A✔ Licensed in NH · 12675

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3309 S 750 W, Russiaville, IN 46979

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Other Identifiers 2

Medicaid201235770IN

Other000000877337IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Martin Walter Pruss 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 ID6800811985

PECOS Enrollment IDI20140730001429

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 9

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.

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.

478 services270 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

401 services255 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.

153 services110 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

82 services81 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

69 services69 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

36 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150007

Location3500 S Lafountain StKokomo, IN 46902 · Howard County

Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150010

Location1907 W Sycamore StKokomo, IN 46904 · Howard County

Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46979 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers17 claims60 services$5.84 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers11 claims30 services$43.34 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers13 claims13 services$17.83 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers15 claims86 services$2.30 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims341 services$4.16 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims6,138 services$0.45 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 8

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

ST JOSEPH HOSPITAL AND HEALTH CENTER INC

Physiological Laboratory

3309 S 750 W, SUITE 101
RUSSIAVILLE, IN 46979

Howard County (765) 456-5300

SHERRI C NUSS MD

Family Medicine