DR. PAUL J RUSILKO D.O.
NPI 1164615936
Urology in Pittsburgh, PA

Q: What is Paul Rusilko's NPI number?

The NPI number for Paul Rusilko is 1164615936. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Q: What is Paul Rusilko's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Rusilko was last updated on May 12, 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.

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

1350 LOCUST STREET, SUITE G100A, PITTSBURGH, PA 15219(412) 232-5850(412) 232-5940 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2021, Dec 16, 2015 (2 updates tracked since 2015).

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About Dr. Paul J Rusilko D.o. NPPES

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

DR. PAUL J RUSILKO D.O. (NPI 1164615936) is an individual urology provider in Pittsburgh, Pennsylvania, licensed in Michigan (5101019644) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2005).

NPPES Registry Identity

NPI1164615936

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. PAUL J RUSILKOCredential: D.O.

Location Address1350 LOCUST STREET, SUITE G100APittsburgh, PA 15219

Mailing Address1350 Locust Street, Suite G100aPittsburgh, PA 15219 · (412) 232-5850 · Fax (412) 232-5940

Phone(412) 232-5850

Fax(412) 232-5940

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2005

Enumeration DateAugust 24, 2007

Last NPPES UpdateMay 12, 20212 updates tracked since enumeration

NPPES CertifiedMay 12, 2021

✔ NPI 1164615936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 5101019644

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1350 LOCUST STREET, Pittsburgh, PA 15219

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Other Identifiers 1

Medicaid1164615936MI

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

Dr. Paul J Rusilko D.o. 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 ID3274789599

PECOS Enrollment IDI20150720002841

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 17

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

4,900 services17 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.

118 services100 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.

71 services59 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

70 services61 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.

39 services36 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.

37 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

31 services29 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

28 services19 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

27 services25 patients

Injection procedure to correct thickened penile tissue 54200

This procedure involves administering an injection to address an issue with dense tissue in the private area. A healthcare professional will carefully inject a medication that helps to soften and break down the thickened tissue, improving comfort and function.

27 services11 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

26 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

17 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services15 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services12 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

12 services12 patients

Insertion of multicomponent inflatable penile implant 54405

This procedure involves placing a device in the body that assists in maintaining firmness. It is composed of multiple parts, all inserted through a small incision. Once in place, it can be controlled manually for desired firmness and relaxation.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390028

Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390107

Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County

Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers26 claims3,432 services$1.56 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

3 suppliers12 claims24 services$5.85 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 7

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

MERCY PHYSICIAN GROUP

Orthopaedic Surgery

1350 LOCUST STREET, SUITE 220
PITTSBURGH, PA 15219

Allegheny County (412) 232-5800

ENT CT LLC

Clinic/Center (Radiology)

1350 LOCUST STREET, SUITE 309
PITTSBURGH, PA 15219

Allegheny County (412) 566-1515

WILLIS DRESDALE SHOOK III MD

Surgery

1350 LOCUST STREET, SUITE 410
PITTSBURGH, PA 15219

Allegheny County (412) 562-3320

DR. MICHELLE JO SEMINS MD

Urology

1350 LOCUST STREET, SUITE G100A
PITTSBURGH, PA 15219

Allegheny County (412) 232-5850

DR. KYLE DANE SPRADLING M.D.

Urology

1350 LOCUST STREET, MERCY PROFESSIONAL BUILDING, SUITE G100A
PITTSBURGH, PA 15219

Allegheny County (412) 232-5850

ROBERT TURNER M.D.

Urology

1350 LOCUST STREET, SUITE G100A
PITTSBURGH, PA 15219

Allegheny County (412) 232-9014

JULIE ENGELSEN CRAMER P.A.

Physician Assistant

1350 LOCUST STREET, SUITE 220
PITTSBURGH, PA 15219

Allegheny County (412) 232-5800

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 Paul Rusilko's NPI number?

The NPI number for Paul Rusilko is 1164615936. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Paul Rusilko located?

Paul Rusilko practices at 1350 Locust Street Suite G100a, Pittsburgh, PA 15219. The listed phone number is (412) 232-5850.

What is Paul Rusilko's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Rusilko enrolled in Medicare?

Yes. Paul Rusilko 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.

Is Paul Rusilko affiliated with any hospitals?

According to CMS data, Paul Rusilko is affiliated with Upmc Mercy, Upmc Altoona, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Paul Rusilko was last updated on May 12, 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.