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MATTHEW E RUSEK MD
NPI 1255043584
Pediatrics in Loris, SC

Active since December 19, 2022PECOS Enrolled
3617 CASEY ST STE B, LORIS, SC 29569(843) 716-8300(843) 716-9792 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Jan 14, 2023, Dec 19, 2022 (3 updates tracked since 2022).

About Matthew E Rusek Md NPPES

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

MATTHEW E RUSEK MD (NPI 1255043584) is an individual pediatrics provider in Loris, South Carolina, licensed in South Carolina (95885) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255043584
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW E RUSEKCredential: MD
Location Address3617 CASEY ST STE BLoris, SC 29569-2981
Mailing Address506 E Cheves St Ste 202Florence, SC 29506-2616
Phone(843) 716-8300
Fax(843) 716-9792
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 19, 2022
Last NPPES UpdateFebruary 13, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1255043584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 95885
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.
3617 CASEY ST STE B, Loris, SC 29569
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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)

Matthew E Rusek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426539719
PECOS Enrollment IDI20260225001219
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 Reassignment

Medicare enrollment records show Matthew Rusek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcleod Physician Associates II
50 mi
Urology
800 E CHEVES ST, SUITE 350
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
NPI 1649428194 (843) 665-2000

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 29569 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 2

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

DR. LILLIAN FONG MD
Pediatrics
3617 CASEY ST STE B
LORIS, SC 29569
Horry County (843) 716-8300
MCLEOD PHYSICIAN ASSOCIATES II
Pediatrics
3617 CASEY ST STE B
LORIS, SC 29569
Horry County (843) 716-8300

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 Matthew Rusek's NPI number?

The NPI number for Matthew Rusek is 1255043584. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Matthew Rusek located?

Matthew Rusek practices at 3617 Casey St Ste B, Loris, SC 29569. The listed phone number is (843) 716-8300.

What is Matthew Rusek's specialty?

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

Is Matthew Rusek enrolled in Medicare?

Yes. Matthew Rusek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Rusek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Rusek reassigns Medicare benefits to Mcleod Physician Associates II (Florence, SC). The 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 Matthew Rusek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Rusek accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health and 1 other insurer list Matthew Rusek 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 Matthew Rusek was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.