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DR. MARK C RUSTEN MD
NPI 1912930777
Otolaryngology in Rolla, MO

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
63.63/100
CMS Quality Rating
1050 W 10TH ST, ROLLA, MO 65401(573) 364-9000(573) 202-2484 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark C Rusten Md NPPES

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

DR. MARK C RUSTEN MD (NPI 1912930777) is an individual otolaryngology provider in Rolla, Missouri, licensed in Missouri (2013000673) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912930777
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARK C RUSTENCredential: MD
Location Address1050 W 10TH STRolla, MO 65401-2905
Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000
Phone(573) 364-9000
Fax(573) 202-2484
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000
Enumeration DateJuly 7, 2006
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1912930777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in MO · 2013000673✔ Licensed in KY · 39450
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1050 W 10TH ST, Rolla, MO 65401
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12605 Kentucky Ave, DOB 3, Suite 601Paducah, KY 42003-3800 · Phone (270) 408-4368 · Fax (270) 408-3272
Location 21000 Gw LnWaynesville, MO 65583-2339 · Phone (573) 774-2715 · Fax (573) 202-2410
Location 31000 W 10th StRolla, MO 65401-2905 · Phone (573) 364-9000 · Fax (573) 202-2484

Other Identifiers 2

Other000000727593KY · Blue Cross Blue Shield
Medicaid64105109KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Mark C Rusten 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 ID2860420684
PECOS Enrollment IDI20130314000299
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 9

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.
291 services166 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
228 services228 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
156 services107 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
79 services51 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
54 services48 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
37 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

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.

YAM SHARMA
Pediatrics
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
DR. DONALD L JAMES DO
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-7545
BOHDAN A LEBEDOWICZ MD
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
ALAN D HEINCKER D.O.
Orthopaedic Surgery
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
DR. KELSEY RAE KNOBBE MD
Obstetrics & Gynecology
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MIGNON M MAKOS MD
Psychiatry & Neurology (Neurology)
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MR. STEVEN R BALLARD ANP
Nurse Practitioner (Adult Health)
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MRS. JENNIFER LYNN BREMER P.A.
Physician Assistant
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000

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 Mark Rusten's NPI number?

The NPI number for Mark Rusten is 1912930777. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mark Rusten located?

Mark Rusten practices at 1050 W 10th St, Rolla, MO 65401. The listed phone number is (573) 364-9000.

What is Mark Rusten's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Rusten enrolled in Medicare?

Yes. Mark Rusten 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 Mark Rusten accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Mark Rusten 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 Mark Rusten affiliated with any hospitals?

According to CMS data, Mark Rusten is affiliated with Phelps County Regional Medical Center and Mercy Hospital Lebanon.

When was this NPI record last updated?

The NPPES record for Mark Rusten was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.