MICHELE G RUSH MD
NPI 1902877970
Psychiatry & Neurology - Sleep Medicine in Laconia, NH

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
80 HIGHLAND ST, LACONIA, NH 03246(603) 524-3211 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michele G Rush Md NPPES

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

MICHELE G RUSH MD (NPI 1902877970) is an individual sleep medicine provider in Laconia, New Hampshire, licensed in New Hampshire (8288) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Speare Memorial Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1902877970
Entity TypeIndividualFemale
Primary Taxonomy2084S0012X
Provider Legal NameMICHELE G RUSHCredential: MD
Location Address80 HIGHLAND STLaconia, NH 03246-3235
Mailing AddressPo Box 1327Laconia, NH 03247-1327 · (603) 524-3211 · Fax (603) 527-7038
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 30, 2006
Last NPPES UpdateApril 10, 2018
NPI 1902877970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License Licensed in NH · 8288
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 8288 (NH)
80 HIGHLAND ST, Laconia, NH 03246

Other Identifiers 6

Other2796788NH · Cigna
Other111497NH · Harvard Pilgrim Hlthcare
Medicaid300003477NH
Other4145461NH · Mvp
Other0103702Y0NH01NH · Anthem
Other3412726NH · Aetna

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

Michele G Rush 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 ID6406872076
PECOS Enrollment IDI20051022000064
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

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.

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.
47 services47 patients

Hospital Affiliations CMS Care Compare

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

Speare Memorial Hospital

Critical Access Hospitals · Plymouth, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301311
Location16 Hospital RoadPlymouth, NH 03264 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03246 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers501 claims501 services$41.73 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
22 suppliers399 claims399 services$106.32 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
22 suppliers390 claims1,006 services$40.62 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers118 claims616 services$24.00 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
17 suppliers85 claims460 services$17.65 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
20 suppliers225 claims225 services$69.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
80 HIGHLAND ST
LACONIA, NH 03246
Anesthesiology
80 HIGHLAND ST
LACONIA, NH 03246
Emergency Medicine
80 HIGHLAND ST
LACONIA, NH 03246
Speech-Language Pathologist
80 HIGHLAND ST
LACONIA, NH 03246
Clinical Medical Laboratory
80 HIGHLAND ST
LACONIA, NH 03246
Internal Medicine
80 HIGHLAND ST
LACONIA, NH 03246
Family Medicine
80 HIGHLAND ST
LACONIA, NH 03246
General Acute Care Hospital
80 HIGHLAND ST
LACONIA, NH 03246

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 Michele Rush's NPI number?

The NPI number for Michele Rush is 1902877970. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Michele Rush located?

Michele Rush practices at 80 Highland St, Laconia, NH 03246. The listed phone number is (603) 524-3211.

What is Michele Rush's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Michele Rush enrolled in Medicare?

Yes. Michele Rush 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 Michele Rush accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Michele Rush 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 Michele Rush affiliated with any hospitals?

According to CMS data, Michele Rush is affiliated with Speare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michele Rush was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.