RUDOLPH B. RUSTIN III M.D.
NPI 1679548614
Surgery in Charlottesville, VA

Q: What is Rudolph Rustin's NPI number?

The NPI number for Rudolph Rustin is 1679548614. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Rudolph Rustin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Rudolph Rustin was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 22, 2006PECOS Enrolled

1300 JEFFERSON PARK AVE, 4TH FLOOR, CHARLOTTESVILLE, VA 22903(434) 982-4411(434) 924-2260 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rudolph B. Rustin Iii M.d. NPPES

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

RUDOLPH B. RUSTIN III M.D. (NPI 1679548614) is an individual surgery provider in Charlottesville, Virginia, licensed in Virginia (0101258483) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679548614

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameRUDOLPH B. RUSTIN IIICredential: M.D.

Location Address1300 JEFFERSON PARK AVE, 4TH FLOORCharlottesville, VA 22903-3363

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 982-4411

Fax(434) 924-2260

Sole ProprietorNo

Enumeration DateFebruary 22, 2006

Last NPPES UpdateSeptember 9, 2016

✔ NPI 1679548614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in VA · 0101258483✔ Licensed in SC · 14302

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 14302 (SC)

1300 JEFFERSON PARK AVE, Charlottesville, VA 22903

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Other Identifiers 5

Medicaid1679548614VA

Medicare PINE124756711SC

Medicare UPINE12475SC

Medicaid143026SC

Medicare PINVVJ390AVA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rudolph B. Rustin Iii 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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

AHMED A AHMED MD

Ophthalmology