TOMMY RAY RUSHING
NPI 1992223713
Nurse Practitioner - Family in Dothan, AL

Q: What is Tommy Rushing's NPI number?

The NPI number for Tommy Rushing is 1992223713. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Q: What is Tommy Rushing's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tommy Rushing was last updated on December 17, 2021. 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.

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4300 W MAIN ST STE 102, DOTHAN, AL 36305(334) 793-9564(334) 671-8907 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2021, Mar 3, 2021, Sep 28, 2020 and 1 more (4 updates tracked since 2017).

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About Tommy Ray Rushing NPPES

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

TOMMY RAY RUSHING (NPI 1992223713) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-138567) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dothan, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1992223713

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTOMMY RAY RUSHING

Location Address4300 W MAIN ST STE 102Dothan, AL 36305-1306

Mailing AddressPo Box 6599Dothan, AL 36302-6599 · (334) 793-5000

Phone(334) 793-9564

Fax(334) 671-8907

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 31, 2017

Last NPPES UpdateDecember 17, 20214 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1992223713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-138567

4300 W MAIN ST STE 102, Dothan, AL 36305

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Secondary Practice Location 1

Location 1108 Medical DrDothan, AL 36303-6902 · Phone (334) 944-7041 · Fax (334) 305-0108

Other Identifiers 1

Other1-138567AL · Alabama License

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tommy Ray Rushing 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 ID7719976000

PECOS Enrollment IDI20180104000722

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

Medicare enrollment records show Tommy Rushing reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiology Associates, PA

3.9 mi

Cardiovascular Disease

4300 W MAIN ST, SUITE 102
Dothan, AL 36305

Reassigned Medicare billing, Alabama enrollment
18 clinicians in this Medicare group

NPI 1922088798 (334) 793-9564

Dothan Hematology & Oncology PC

3.9 mi

Hematology & Oncology

287 HEALTHWEST DR
Dothan, AL 36303

Reassigned Medicare billing, Alabama enrollment
Medicare enrollment name: Dothan Hematology & Oncology, P. C.
17 clinicians in this Medicare group

NPI 1942393913 (334) 792-9500

App Of Alabama Ed PLLC

263 mi

Emergency Medicine

15155 HIGHWAY 43
Russellville, AL 35653

Reassigned Medicare billing, Alabama enrollment
286 clinicians in this Medicare group

NPI 1659646040 (256) 332-1611

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 3

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 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.

436 services233 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.

106 services84 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

55 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36305 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.24

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

35%459 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

14%723 patients1/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

12%226 patients1/55-star benchmark: 100%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

83%226 patients4/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%2,466 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 589 patients

Patients tobacco: 18% · 104 patients

81%589 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

CHRISTOPHER O. IKE M.D.

Internal Medicine (Interventional Cardiology)