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THOMAS C RUSHTON MD
NPI 1740245018
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
820 PRUDENTIAL DR STE 515, JACKSONVILLE, FL 32207(904) 396-4886(904) 398-0496 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2020, Jul 10, 2020, May 11, 2018 and 1 more (4 updates tracked since 2018).

About Thomas C Rushton Md NPPES

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

THOMAS C RUSHTON MD (NPI 1740245018) is an individual infectious disease provider in Jacksonville, Florida, licensed in Florida (ME63732) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of University Of South Florida College Of Medicine (1985).

NPPES Registry Identity

NPI1740245018
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameTHOMAS C RUSHTONCredential: MD
Location Address820 PRUDENTIAL DR STE 515Jacksonville, FL 32207-8207
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 396-4886
Fax(904) 398-0496
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1985
Enumeration DateApril 19, 2006
Last NPPES UpdateDecember 30, 20204 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
✔ NPI 1740245018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in FL · ME63732✔ Licensed in WV · 17822
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 17822 (WV)
820 PRUDENTIAL DR STE 515, Jacksonville, FL 32207
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Other Identifiers 3

Medicaid0977448OH
Medicaid64700404KY
Medicaid0077233000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource, Florida Blue (BlueCross BlueShield FL) and more.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

Thomas C Rushton 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 ID6709808918
PECOS Enrollment IDI20210104002165
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 8

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.
687 services249 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
245 services142 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
208 services197 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
69 services69 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.
61 services43 patients
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.
48 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 16

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

DENIS DOUGLAS ASIIMWE M.D
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
DIANA INIGUEZ MERCADO M.D.
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
BRANDI E WIGGINS APRN, FNP-C
Nurse Practitioner (Family)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
JOHN KYAW HAN M.D.
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
CATHERINE L. SMITH MD
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
ROBERT J CATALLA MD
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
DR. MAN-KUANG CHANG M.D
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207
Duval County (904) 396-4886
SRIVANI SANIKOMMU M.D.
Internal Medicine (Infectious Disease)
820 PRUDENTIAL DR STE 515
JACKSONVILLE, FL 32207
Duval County (904) 396-4886

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 Thomas Rushton's NPI number?

The NPI number for Thomas Rushton is 1740245018. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Thomas Rushton located?

Thomas Rushton practices at 820 Prudential Dr Ste 515, Jacksonville, FL 32207. The listed phone number is (904) 396-4886.

What is Thomas Rushton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Thomas Rushton enrolled in Medicare?

Yes. Thomas Rushton 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 Thomas Rushton accept?

Health plans from AvMed, CareSource, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Thomas Rushton 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.

Is Thomas Rushton affiliated with any hospitals?

According to CMS data, Thomas Rushton is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Thomas Rushton was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.