RUTH A RUSTAD MD
NPI 1689631038
Dermatology in White Bear Lake, MN
About Ruth A Rustad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUTH A RUSTAD MD (NPI 1689631038) is an individual dermatology provider in White Bear Lake, Minnesota, licensed in Minnesota (38316) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1994).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ruth A Rustad Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Ruth Rustad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Bear Lake, MN 55127
- Reassigned Medicare billing, Minnesota enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE BEAR LAKE, MN 55127
WHITE BEAR LAKE, MN 55127
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 Ruth Rustad's NPI number?
The NPI number for Ruth Rustad is 1689631038. It was assigned to this individual provider in the NPPES registry on April 28, 2006. The provider is also known as Ruth A Anderson.
Where is Ruth Rustad located?
Ruth Rustad practices at 4480 Centerville Rd, White Bear Lake, MN 55127. The listed phone number is (651) 484-2724.
What is Ruth Rustad's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Ruth Rustad enrolled in Medicare?
Yes. Ruth Rustad 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.
Which organization bills Medicare for Ruth Rustad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruth Rustad reassigns Medicare benefits to Advanced Dermatology Care Medical Cosmetic And Surgery PA (White Bear Lake, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruth Rustad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ruth Rustad accept?
Health plans from HealthPartners list Ruth Rustad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ruth Rustad was last updated on August 1, 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.
# Ruth A Rustad, MD · NPI 1689631038
Dermatology physician in White Bear Lake, Minnesota. Individual provider, active in the CMS NPPES registry since April 28, 2006.
## Identity
- **NPI:** 1689631038 (Entity type: Individual)
- **Enumerated:** April 28, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 38316 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4480 CENTERVILLE RD, White Bear Lake, MN 55127-3674
- **Phone:** (651) 484-2724 · **Fax:** (651) 484-2723
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advanced Dermatology Care Medical Cosmetic And Surgery PA (NPI 1073614558, White Bear Lake, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1994
## Record status
- **NPPES last updated:** August 1, 2012
- **Other identifiers:** Other 110202652 (MN); Medicare PIN 110006449 (MN); Medicare UPIN G60659
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Source: [NPI Profile](https://npiprofile.com/npi/1689631038) · Data from the CMS NPPES public registry.