PETER KARL RUSTERHOLZ M.D.
NPI 1205895414
Internal Medicine - Cardiovascular Disease in Saint Paul, MN

Active since March 17, 2006PECOS Enrolled
83.53/100
CMS Quality Rating
225 SMITH AVE N, SUITE 400, SAINT PAUL, MN 55102(651) 290-0133 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter Karl Rusterholz M.d. NPPES

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

PETER KARL RUSTERHOLZ M.D. (NPI 1205895414) is an individual cardiovascular disease provider in Saint Paul, Minnesota, licensed in Minnesota (28360) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205895414
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePETER KARL RUSTERHOLZCredential: M.D.
Location Address225 SMITH AVE N, SUITE 400Saint Paul, MN 55102-2533
Mailing Address2925 Chicago AvenueMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
NPI 1205895414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MN · 28360
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
225 SMITH AVE N, Saint Paul, MN 55102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Peter Karl Rusterholz M.d. 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.

Areas of Expertise CMS Part B claims 2

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.

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.
96 services94 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.
43 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

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

Clinical Nurse Specialist (Adult Health)
225 SMITH AVE N, SUITE 300
SAINT PAUL, MN 55102
Nurse Practitioner (Adult Health)
225 SMITH AVE N, #400
SAINT PAUL, MN 55102
Registered Nurse
225 SMITH AVE N
SAINT PAUL, MN 55102
Respiratory Therapist, Registered (Pulmonary Rehabilitation)
225 SMITH AVE N, SUITE 301
SAINT PAUL, MN 55102
Technician, Cardiology
225 SMITH AVE N, #500
ST PAUL, MN 55102
General Practice
225 SMITH AVE N, STE 300
ST PAUL, MN 55102
Surgery (Vascular Surgery)
225 SMITH AVE N, STE. 400
SAINT PAUL, MN 55102
Nurse Practitioner (Adult Health)
225 SMITH AVE N, #400
SAINT PAUL, MN 55102

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 Peter Rusterholz's NPI number?

The NPI number for Peter Rusterholz is 1205895414. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Peter Rusterholz located?

Peter Rusterholz practices at 225 Smith Ave N Suite 400, Saint Paul, MN 55102. The listed phone number is (651) 290-0133.

What is Peter Rusterholz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Peter Rusterholz enrolled in Medicare?

Yes. Peter Rusterholz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Rusterholz was last updated on March 11, 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.