JACOB JOSEPH RUSK MD
NPI 1700455474
Family Medicine in Toledo, OH

Active since June 17, 2021PECOS EnrolledAccepts Medicare Assignment
4235 SECOR RD, TOLEDO, OH 43623(419) 479-5831(419) 479-5799 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2025, Jul 11, 2025, Jun 17, 2021 (3 updates tracked since 2021).

About Jacob Joseph Rusk Md NPPES

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

JACOB JOSEPH RUSK MD (NPI 1700455474) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (57.253399) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of University Of Toledo College Of Medicine (2021).

NPPES Registry Identity

NPI1700455474
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB JOSEPH RUSKCredential: MD
Location Address4235 SECOR RDToledo, OH 43623-4299
Mailing Address4235 Secor RdToledo, OH 43623-4299 · (419) 473-3561
Fax(419) 479-5799
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2021
Enumeration DateJune 17, 2021
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1700455474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 57.253399
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2021022587 (MO)
4235 SECOR RD, Toledo, OH 43623

Secondary Practice Location 1

Location 1619 N Providence RdColumbia, MO 65203-4355 · Phone (573) 234-1070

Other Identifiers 1

Medicaid0495256OH

Accepted 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

Jacob Joseph Rusk 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.

PECOS PAC ID244611432
PECOS Enrollment IDI20251027000374
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 43623 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Clinic/Center (Urgent Care)
4235 SECOR RD, PROMEDICA URGENT CARE
TOLEDO, OH 43623
Internal Medicine (Gastroenterology)
4235 SECOR RD
TOLEDO, OH 43623
Nurse Practitioner (Family)
4235 SECOR RD
TOLEDO, OH 43623
Student in an Organized Health Care Education/Training Program
4235 SECOR RD
TOLEDO, OH 43623
Physician Assistant (Medical)
4235 SECOR RD
TOLEDO, OH 43623
Nurse Practitioner (Family)
4235 SECOR RD
TOLEDO, OH 43623
Internal Medicine (Cardiovascular Disease)
4235 SECOR RD
TOLEDO, OH 43623
Orthopaedic Surgery
4235 SECOR RD
TOLEDO, OH 43623

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 Jacob Rusk's NPI number?

The NPI number for Jacob Rusk is 1700455474. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Jacob Rusk located?

Jacob Rusk practices at 4235 Secor Rd, Toledo, OH 43623. The listed phone number is (419) 479-5831.

What is Jacob Rusk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Rusk enrolled in Medicare?

Yes. Jacob Rusk 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.

What insurance does Jacob Rusk accept?

Health plans from CareSource list Jacob Rusk 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 Jacob Rusk was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.