Individual provider Active NPI

Christopher Stanley Rusinek, MD

  • Ophthalmology Physician
  • Cary, NC
National Provider Identifier
1487608469
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200500246 Issued in NC
Practice address
105 SW Cary Pkwy Ste 200
Cary, NC 27511-5600
Phone
(919) 467-4500
Fax
(919) 460-9339
NPI assigned
May 22, 2006
Last updated
Mar 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200500246 NC Primary

Addresses

Primary practice location

105 SW Cary Pkwy Ste 200
Cary, NC 27511-5600

Mailing address

105 SW Cary Pkwy Ste 200
Cary, NC 27511-5600
Phone (919) 467-4500

Other identifiers 1

IdentifierTypeStateIssuer
5903276MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060713000278 NC Practitioner - Ophthalmology 3971552829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Ophthalmology Associates, PAGroup PAC ID 6305993809, 3 clinicians

Practice addresses (Care Compare)

105 SW Cary Pkwy
Suite 200
Cary, NC 27511-5600
Phone (919) 467-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200500246NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Ophthalmology Associates, PA Ophthalmology CurrentSince Dec 1, 2008 Accepting new patients
The Kelly Eye Center PA Ophthalmology Past Accepting new patients

Locations

105 SW Cary Pkwy
Ste 200
Cary, NC 27511
Phone (919) 467-4500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1487608469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SW CARY PKWY STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115600",
            "telephone_number": "919-467-4500",
            "fax_number": "919-460-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SW CARY PKWY STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115600",
            "telephone_number": "919-467-4500",
            "fax_number": "919-460-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSINEK",
        "first_name": "CHRISTOPHER",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200500246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903276",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.