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JACOB AUSTIN RUZICKA MD
NPI 1750841029
Emergency Medicine in Broken Arrow, OK

Active since March 22, 2019PECOS Enrolled
19646 E 140TH ST S, BROKEN ARROW, OK 74014(918) 260-5920 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Austin Ruzicka Md NPPES

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

JACOB AUSTIN RUZICKA MD (NPI 1750841029) is an individual emergency medicine provider in Broken Arrow, Oklahoma, licensed in Oklahoma (38921) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750841029
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACOB AUSTIN RUZICKACredential: MD
Location Address19646 E 140TH ST SBroken Arrow, OK 74014-4555
Mailing Address7 River Ridge RdBroken Arrow, OK 74014-4502
Phone(918) 260-5920
Sole ProprietorYes
Enumeration DateMarch 22, 2019
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1750841029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 38921
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19646 E 140TH ST S, Broken Arrow, OK 74014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Austin Ruzicka Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Ruzicka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Physicians Of Tulsa County, LLC
13 mi
Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 226 clinicians in this Medicare group
NPI 1003098773 (844) 474-4019
Ies ER Oklahoma LLC
13 mi
Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 263 clinicians in this Medicare group
NPI 1447148093 (918) 494-2200

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
461 services443 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
116 services114 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services116 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
83 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74014 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Ruzicka's NPI number?

The NPI number for Jacob Ruzicka is 1750841029. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Jacob Ruzicka located?

Jacob Ruzicka practices at 19646 E 140th St S, Broken Arrow, OK 74014. The listed phone number is (918) 260-5920.

What is Jacob Ruzicka's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Ruzicka enrolled in Medicare?

Yes. Jacob Ruzicka is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Ruzicka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Ruzicka reassigns Medicare benefits to 2 organizations: Emergency Medicine Physicians Of Tulsa County, LLC (Tulsa, OK) and Ies ER Oklahoma LLC (Tulsa, OK). Each 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 Jacob Ruzicka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Ruzicka accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jacob Ruzicka 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 Ruzicka was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.