PHILLIP BRENT REUSTLE PA-C
NPI 1356537161
Physician Assistant - Surgical in Spartanburg, SC

Q: What is Phillip Reustle's NPI number?

The NPI number for Phillip Reustle is 1356537161. It was assigned to this individual provider in the NPPES registry on September 15, 2007.

Q: What is Phillip Reustle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Reustle was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 15, 2007PECOS EnrolledAccepts Medicare Assignment

225 E WOOD ST, SPARTANBURG, SC 29303(864) 560-4420 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Dec 10, 2020, Dec 6, 2019 and 3 more (6 updates tracked since 2018).

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About Phillip Brent Reustle Pa-c NPPES

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

PHILLIP BRENT REUSTLE PA-C (NPI 1356537161) is an individual surgical provider in Spartanburg, South Carolina, licensed in South Carolina (3367) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Rock Hill.

NPPES Registry Identity

NPI1356537161

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NamePHILLIP BRENT REUSTLECredential: PA-C

Location Address225 E WOOD STSpartanburg, SC 29303-3050

Mailing AddressPo Box 743070Atlanta, GA 30374-3070

Phone(864) 560-4420

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 15, 2007

Last NPPES UpdateApril 18, 20246 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1356537161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in SC · 3367

Also ListedPhysician AssistantTaxonomy 363A00000X · License 3367 (SC)

225 E WOOD ST, Spartanburg, SC 29303

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Secondary Practice Location 1

Location 1197 Piedmont Blvd Ste 100Rock Hill, SC 29732-1825 · Phone (803) 324-1950 · Fax (803) 324-1933

Other Identifiers 2

OtherSCG4005019SC · Medicare Pin

Medicaid3359PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and more.Insurance ›

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

Phillip Brent Reustle Pa-c 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 ID6800978925

PECOS Enrollment IDI20191203002769, I20250829001009

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 3

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

16 services16 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

15 services15 patients

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268

This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 18

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

SPARTANBURG MEDICAL CENTER

Thoracic Surgery (Cardiothoracic Vascular Surgery)