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JERRY L RUSHTON MD
NPI 1124086434
Pediatrics in Indianapolis, IN

Active since May 03, 2006PECOS Enrolled
705 BARNHILL DR, #1300, INDIANAPOLIS, IN 46202(317) 944-2801(317) 944-5630 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2021, Mar 4, 2020 (2 updates tracked since 2020).

About Jerry L Rushton Md NPPES

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

JERRY L RUSHTON MD (NPI 1124086434) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01057495A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124086434
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJERRY L RUSHTONCredential: MD
Location Address705 BARNHILL DR, #1300Indianapolis, IN 46202
Mailing Address250 N Shadeland Ave, Ste 200Indianapolis, IN 46219-4959 · (317) 963-2720
Phone(317) 944-2801
Fax(317) 944-5630
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1124086434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01057495A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
705 BARNHILL DR, Indianapolis, IN 46202
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Other Identifiers 2

Medicaid64065642KY
Medicaid200114380IN

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry L Rushton Md 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

3

Medicare enrollment records show Jerry Rushton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Care Associates, Inc
0.8 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505
University Family Physicians, Inc.
1.2 mi
Family Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 737 clinicians in this Medicare group
NPI 1043275787 (317) 962-2000
Iu Health Medical Group, LLC
1.3 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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.

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 Jerry Rushton's NPI number?

The NPI number for Jerry Rushton is 1124086434. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Jerry Rushton located?

Jerry Rushton practices at 705 Barnhill Dr #1300, Indianapolis, IN 46202. The listed phone number is (317) 944-2801.

What is Jerry Rushton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jerry Rushton enrolled in Medicare?

Yes. Jerry Rushton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerry Rushton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Rushton reassigns Medicare benefits to 3 organizations: Indiana University Health Care Associates, Inc (Indianapolis, IN), University Family Physicians, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Jerry Rushton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Rushton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Jerry Rushton 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 Jerry Rushton was last updated on January 29, 2021. 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.