DR. ROUSLAN TOURTSEV D.O.
NPI 1174863864
Family Medicine in Douglassville, PA

Active since February 18, 2013PECOS EnrolledAccepts Medicare Assignment
78.36/100
CMS Quality Rating
193 OLD SWEDE RD, DOUGLASSVILLE, PA 19518(610) 385-3010 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rouslan Tourtsev D.o. NPPES

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

DR. ROUSLAN TOURTSEV D.O. (NPI 1174863864) is an individual family medicine provider in Douglassville, Pennsylvania, licensed in Pennsylvania (OS020544) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2013).

NPPES Registry Identity

NPI1174863864
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROUSLAN TOURTSEVCredential: D.O.
Location Address193 OLD SWEDE RDDouglassville, PA 19518-1522
Mailing AddressPo Box 287Ainsworth, NE 69210-0287 · (402) 387-1900
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2013
Enumeration DateFebruary 18, 2013
Last NPPES UpdateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
NPI 1174863864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · OS020544 Licensed in PA · OT014999 Licensed in NE · 1504
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.
193 OLD SWEDE RD, Douglassville, PA 19518

Accepted 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

Dr. Rouslan Tourtsev 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 ID9133423544
PECOS Enrollment IDI20200918001507
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 5

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.

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.
339 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
260 services91 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
145 services144 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
53 services52 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.
38 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19518 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.13
Promoting Interoperability98
Improvement Activities40
Cost48.42

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.

Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims12 services$0.84 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 6

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

Physician Assistant (Medical)
193 OLD SWEDE RD
DOUGLASSVILLE, PA 19518
Family Medicine
193 OLD SWEDE RD
DOUGLASSVILLE, PA 19518
Physician Assistant (Medical)
193 OLD SWEDE RD
DOUGLASSVILLE, PA 19518
Family Medicine
193 OLD SWEDE RD
DOUGLASSVILLE, PA 19518
Family Medicine
193 OLD SWEDE RD
DOUGLASSVILLE, PA 19518
Family Medicine
193 OLD SWEDE RD
DOUGLASSVILLE, PA 19518

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 Rouslan Tourtsev's NPI number?

The NPI number for Rouslan Tourtsev is 1174863864. It was assigned to this individual provider in the NPPES registry on February 18, 2013.

Where is Rouslan Tourtsev located?

Rouslan Tourtsev practices at 193 Old Swede Rd, Douglassville, PA 19518. The listed phone number is (610) 385-3010.

What is Rouslan Tourtsev's specialty?

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

Is Rouslan Tourtsev enrolled in Medicare?

Yes. Rouslan Tourtsev 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 Rouslan Tourtsev accept?

Health plans from Medica list Rouslan Tourtsev 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 Rouslan Tourtsev affiliated with any hospitals?

According to CMS data, Rouslan Tourtsev is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Rouslan Tourtsev was last updated on March 8, 2022. 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.