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SCOTT R. ROUSTIO MD
NPI 1215080395
Emergency Medicine in O Fallon, IL

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
8422 BRAESWOOD ESTATES DR, O FALLON, IL 62269(618) 624-0091 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott R. Roustio Md NPPES

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

SCOTT R. ROUSTIO MD (NPI 1215080395) is an individual emergency medicine provider in O Fallon, Illinois, licensed in Illinois (036-087697) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Southern Illinois University School Of Medicine (1991).

NPPES Registry Identity

NPI1215080395
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSCOTT R. ROUSTIOCredential: MD
Location Address8422 BRAESWOOD ESTATES DRO Fallon, IL 62269-4235
Mailing Address8422 Braeswood Estates DrO Fallon, IL 62269-4235 · (618) 624-0091
Phone(618) 624-0091
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1991
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMay 20, 2013
✔ NPI 1215080395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036-087697
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
8422 BRAESWOOD ESTATES DR, O Fallon, IL 62269
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Other Identifiers 1

Medicare UPINF41093IL

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

Scott R. Roustio 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 ID7911998620
PECOS Enrollment IDI20040521000033
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
283 services266 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
277 services254 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
82 services80 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
78 services72 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 Scott Roustio's NPI number?

The NPI number for Scott Roustio is 1215080395. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Scott Roustio located?

Scott Roustio practices at 8422 Braeswood Estates Dr, O Fallon, IL 62269. The listed phone number is (618) 624-0091.

What is Scott Roustio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Roustio enrolled in Medicare?

Yes. Scott Roustio 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 Scott Roustio affiliated with any hospitals?

According to CMS data, Scott Roustio is affiliated with Good Samaritan Regional Hlth Center and Fairfield Memorial Hospital 1.

When was this NPI record last updated?

The NPPES record for Scott Roustio was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.