KATHRYN P RUSHAK N.P.
NPI 1538512033
Nurse Practitioner - Adult Health in Binghamton, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

Active since July 20, 2016PECOS EnrolledAccepts Medicare Assignment

84.63/100

CMS Quality Rating

169 RIVERSIDE DR, BINGHAMTON, NY 13905(607) 798-5307(607) 798-5078 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2023, Nov 15, 2021, Dec 15, 2016 (3 updates tracked since 2016).

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About Kathryn P Rushak N.p. NPPES

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

KATHRYN P RUSHAK N.P. (NPI 1538512033) is an individual adult health provider in Binghamton, New York, licensed in New York (F307813-1) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538512033

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKATHRYN P RUSHAKCredential: N.P.

Location Address169 RIVERSIDE DRBinghamton, NY 13905-4246

Mailing Address169 Riverside DrBinghamton, NY 13905-4246 · (607) 798-5307 · Fax (607) 798-5078

Phone(607) 798-5307

Fax(607) 798-5078

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 20, 2016

Last NPPES UpdateJuly 17, 20233 updates tracked since enumeration

NPPES CertifiedJuly 17, 2023

✔ NPI 1538512033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F307813-1

Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License 307813 (NY)

169 RIVERSIDE DR, Binghamton, NY 13905

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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

Kathryn P Rushak N.p. 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 ID4587945548

PECOS Enrollment IDI20170105001216

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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

183 services71 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.

25 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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.

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.

84.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.96

Promoting Interoperability

100

Improvement Activities

Cost

54.42

Other Providers at the Same Location NPPES 20

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

PHILIP GOODMAN MD

Radiology (Diagnostic Radiology)