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LARISA ANATOLIEVNA RUSYN M.D.
NPI 1861771990
Pediatrics - Pediatric Endocrinology in New York, NY

Active since August 07, 2011PECOS Enrolled
462 1ST AVE RM 8W52, NEW YORK, NY 10016(212) 562-6904(212) 562-3273 Get Directions Write a Review

NPPES record last updated: August 7, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Larisa Anatolievna Rusyn M.d. NPPES

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

LARISA ANATOLIEVNA RUSYN M.D. (NPI 1861771990) is an individual pediatric endocrinology provider in New York, New York, licensed in New York (IN PROGRESS) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861771990
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameLARISA ANATOLIEVNA RUSYNCredential: M.D.
Location Address462 1ST AVE RM 8W52New York, NY 10016-9196
Mailing Address462 1st Ave Rm 8w52New York, NY 10016-9196 · (212) 562-6904 · Fax (212) 562-3273
Phone(212) 562-6904
Fax(212) 562-3273
Sole ProprietorYes
Enumeration DateAugust 7, 2011
✔ NPI 1861771990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in NY · IN PROGRESS
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
462 1ST AVE RM 8W52, New York, NY 10016
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Other Names 1

Former Name (1)Larisa Anatolievna Roussina

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larisa Anatolievna Rusyn 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.

Medicare Billing Reassignment

Medicare enrollment records show Larisa Rusyn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amboy Medical Practice PC
9.9 mi
Diagnostic Radiology
355 BARD AVE
Staten Island, NY 10310
  • Reassigned Medicare billing, New York enrollment
  • 305 clinicians in this Medicare group
NPI 1104692672 (718) 818-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 Larisa Rusyn's NPI number?

The NPI number for Larisa Rusyn is 1861771990. It was assigned to this individual provider in the NPPES registry on August 7, 2011. The provider is also known as Larisa Anatolievna Roussina.

Where is Larisa Rusyn located?

Larisa Rusyn practices at 462 1st Ave Rm 8w52, New York, NY 10016. The listed phone number is (212) 562-6904.

What is Larisa Rusyn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Larisa Rusyn enrolled in Medicare?

Yes. Larisa Rusyn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Larisa Rusyn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larisa Rusyn reassigns Medicare benefits to Amboy Medical Practice PC (Staten Island, NY). 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 Larisa Rusyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Larisa Rusyn was last updated on August 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.