JACK D RUSH M.D.
NPI 1356399844
Family Medicine in Clayton, NY

Q: What is Jack Rush's NPI number?

The NPI number for Jack Rush is 1356399844. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Jack Rush's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Rush was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 05, 2006PECOS Enrolled

909 STRAWBERRY LN, CLAYTON, NY 13624(315) 686-2094(315) 686-2821 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jack D Rush M.d. NPPES

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

JACK D RUSH M.D. (NPI 1356399844) is an individual family medicine provider in Clayton, New York, licensed in New York (153963) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356399844

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACK D RUSHCredential: M.D.

Location Address909 STRAWBERRY LNClayton, NY 13624-1409

Mailing Address909 Strawberry LnClayton, NY 13624-1409 · (315) 686-2094 · Fax (315) 686-2821

Phone(315) 686-2094

Fax(315) 686-2821

Sole ProprietorNo

Enumeration DateMay 5, 2006

Last NPPES UpdateFebruary 29, 2012

✔ NPI 1356399844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 153963

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.

909 STRAWBERRY LN, Clayton, NY 13624

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Other Identifiers 2

Medicare UPINB81956

Medicaid00354316NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack D Rush 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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

360 services218 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

267 services182 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

168 services168 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

43 services40 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13624 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers37 claims113 services$6.31 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers19 claims23 services$0.98 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier20 claims20 services$15.43 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier23 claims23 services$75.36 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier13 claims600 services$0.78 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers15 claims15 services$24.31 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 7

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

DR. AARON DALE HUIZENGA D.O.

Family Medicine

909 STRAWBERRY LN
CLAYTON, NY 13624

Jefferson County (315) 686-2094

GALINA GINDINA DO

Family Medicine

909 STRAWBERRY LN, SFHC
CLAYTON, NY 13624

Jefferson County (315) 686-2094

STEPHEN GRYBOWSKI M.D.

Family Medicine

909 STRAWBERRY LN
CLAYTON, NY 13624

Jefferson County (315) 686-2094

MRS. AMANDA L ROSEN

Nurse Practitioner (Family)

909 STRAWBERRY LN
CLAYTON, NY 13624

Jefferson County (315) 686-2094

SONJA PIERCE NP

Nurse Practitioner (Family)

909 STRAWBERRY LN
CLAYTON, NY 13624

Jefferson County (315) 686-2094

KALIE MARIE PRICE-KELLOGG PA-C

Physician Assistant

909 STRAWBERRY LN
CLAYTON, NY 13624

Jefferson County (315) 686-2094

LEWIS W BRINDIS PA

Physician Assistant

909 STRAWBERRY LN
CLAYTON, NY 13624

Jefferson County (315) 686-2094

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 Jack Rush's NPI number?

The NPI number for Jack Rush is 1356399844. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jack Rush located?

Jack Rush practices at 909 Strawberry Ln, Clayton, NY 13624. The listed phone number is (315) 686-2094.

What is Jack Rush's specialty?

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

Is Jack Rush enrolled in Medicare?

Yes. Jack Rush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Rush was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.