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DOROTHY A TRACEY RUSIN PH D
NPI 1528154358
Psychologist - Clinical in Gaithersburg, MD

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
9077 SHADY GROVE COURT, GAITHERSBURG, MD 20877(301) 977-0150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dorothy A Tracey Rusin Ph D NPPES

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

DOROTHY A TRACEY RUSIN PH D (NPI 1528154358) is an individual clinical provider in Gaithersburg, Maryland, licensed in Maryland (925) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1528154358
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDOROTHY A TRACEY RUSINCredential: PH D
Location Address9077 SHADY GROVE COURTGaithersburg, MD 20877
Mailing Address20001 Bucklodge RdBoyds, MD 20841 · (301) 977-0150
Phone(301) 977-0150
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528154358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 925
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9077 SHADY GROVE COURT, Gaithersburg, MD 20877
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Other Identifiers 1

Medicare ID-Type Unspecified491593

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

Dorothy A Tracey Rusin Ph D 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 ID5294862538
PECOS Enrollment IDI20100419000716
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Dorothy Tracey Rusin's NPI number?

The NPI number for Dorothy Tracey Rusin is 1528154358. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Dorothy Tracey Rusin located?

Dorothy Tracey Rusin practices at 9077 Shady Grove Court, Gaithersburg, MD 20877. The listed phone number is (301) 977-0150.

What is Dorothy Tracey Rusin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dorothy Tracey Rusin enrolled in Medicare?

Yes. Dorothy Tracey Rusin 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.

When was this NPI record last updated?

The NPPES record for Dorothy Tracey Rusin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.