DOUGLAS WILLIAM RUSNACK MD
NPI 1336101005
Radiology - Diagnostic Radiology in Coeur D Alene, ID

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
601 FRONT AVENUE, SUITE #502, COEUR D ALENE, ID 83814(208) 415-0524(208) 763-3644 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas William Rusnack Md NPPES

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

DOUGLAS WILLIAM RUSNACK MD (NPI 1336101005) is an individual diagnostic radiology provider in Coeur D Alene, Idaho, licensed in Idaho (M9059) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1998).

NPPES Registry Identity

NPI1336101005
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDOUGLAS WILLIAM RUSNACKCredential: MD
Location Address601 FRONT AVENUE, SUITE #502Coeur D Alene, ID 83814
Mailing Address601 Front Avenue, Suite #502Coeur D Alene, ID 83814 · (208) 415-0524 · Fax (208) 763-3644
Fax(208) 763-3644
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1998
Enumeration DateApril 6, 2006
Last NPPES UpdateMay 27, 2009
NPI 1336101005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in ID · M9059
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
601 FRONT AVENUE, Coeur D Alene, ID 83814

Other Identifiers 18

Other91732KY · Siho
Medicaid7100025000KY
Medicare PIN012551P27VA
Other50017549KY · Passport
Medicare UPINH90509ID
Medicare PINRU-VN4094ME
Other000000548198KY · Anthem
Medicare PINRU-VN4094VT
Other1019685500001PA · Medical Assistance Pa
Medicaid1019685500001PA
Medicare PINRU-VN4094NH
Other2799048PA · Medical Assistance Oh
Other3425603000KY · Passport Advantage
Other2501251PA · Medical Assistance Ny
Medicaid2799048OH
Medicare PIN0998888KY
Medicaid010394856VA
Medicare PIN115248PA

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

Douglas William Rusnack 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 ID4880686989
PECOS Enrollment IDI20140102000907, I20201223002508
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 40

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
19,655 services211 patients
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
540 services33 patients
Injection, gadoteridol, (prohance multipack), per ml A9576
Gadoteridol, found in ProHance Multipack, is a contrast agent used in MRI scans. It's injected into your body to help highlight certain areas, making them easier to see. This can assist in diagnosing various health conditions. It's generally safe with few side effects.
409 services30 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
301 services287 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
209 services200 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
197 services193 patients

Hospital Affiliations CMS Care Compare

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

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120002
Location221 Mahalani StreetWailuku, HI 96793 · Maui County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Radiology (Diagnostic Radiology)
601 FRONT AVENUE, SUITE #502
COEUR D ALENE, ID 83814
Radiology (Diagnostic Radiology)
601 FRONT AVENUE, SUITE #502
COEUR D ALENE, ID 83814
Radiology (Diagnostic Radiology)
601 FRONT AVENUE, SUITE #502
COEUR D ALENE, ID 83814
Radiology (Diagnostic Radiology)
601 FRONT AVENUE, SUITE 502
COEUR D ALENE, ID 83814
Radiology (Diagnostic Radiology)
601 FRONT AVENUE, SUITE #502
COEUR D ALENE, ID 83814

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 Douglas Rusnack's NPI number?

The NPI number for Douglas Rusnack is 1336101005. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Douglas Rusnack located?

Douglas Rusnack practices at 601 Front Avenue Suite #502, Coeur D Alene, ID 83814. The listed phone number is (208) 415-0524.

What is Douglas Rusnack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Rusnack enrolled in Medicare?

Yes. Douglas Rusnack 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 Douglas Rusnack affiliated with any hospitals?

According to CMS data, Douglas Rusnack is affiliated with Maui Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Rusnack was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.