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Dr. Alex Joseph Liboon Rustia , DMD

Dentist - General Practice β€’ St Augustine, FL

Active NPI 1194554535 Individual Practitioner Male Practitioner
Practice location in NPPES

150 Malaga St
St Augustine, FL 320843521

Call 9048299024 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

150 Malaga St

St Augustine, FL 320843521

Telephone 9048299024
Organization at the Same NPPES Address or Phone
Smile So Big Flagler Pllc Facility NPI 1942021514

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

19 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$72 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.49 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Dentist - General Practice in St Augustine, FL (2024, 22 clinicians with data). Median for this group: 34. Middle half: 23 to 110.

Fewer Part D prescriptions than 80% of clinicians listed under Dentist - General Practice in Florida (2024, 3,880 clinicians with data). Median for this group: 59. Middle half: 28 to 120.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Dentist - General Practice in St Augustine, FL (2024, 22 clinicians with data). Median for this group: $115. Middle half: $74 to $325.

A lower Part D drug cost than 80% of clinicians listed under Dentist - General Practice in Florida (2024, 3,880 clinicians with data). Median for this group: $201. Middle half: $87 to $452.

42 active clinicians are listed under Dentist - General Practice with a practice address in St Augustine, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 42 clinicians have the CMS telehealth indicator.

0% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $14.49.

Manufacturer Payment Nature Product Type Amount ($)
Philips North America LLC
Food and Beverage
Cash or cash equivalent
Zoom Take Home Kits General $14.49

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 19 124 $72.38 16

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN29444

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

7740 Point Meadows Dr Ste 4

Jacksonville, FL 322569180

Phone: 9046066735

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Marie Pucillo , DMD

Dentist - General Practice

NPI 1730428749

Doctor of Dental Medicine

NPI 1972789725

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 26, 2026

Registered at 150 MALAGA ST, ST AUGUSTINE, FL 320843521 (Tel: 9048299024)

πŸ“
Updated Business Mailing Address January 26, 2026

Registered at 278 TIDAL BEACH AVE, ST AUGUSTINE, FL 320950148 (Tel: 9086706108)

βœ…
NPI Profile Active August 01, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 01, 2024

Registered at 7451 103RD ST STE 18, JACKSONVILLE, FL 322106789 (Tel: 9047774622)

πŸ“
Business Mailing Address (Initial Record) August 01, 2024

Registered at 281 CROSS RIDGE DR, PONTE VEDRA, FL 320818445 (Tel: 9086706108)

πŸ‘€
Provider Name / Credentials (Initial Record) August 01, 2024

Recorded as ALEX JOSEPH RUSTIA, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Dentist (license number reported to NPPES: FL DN29444)

🟒
Initial NPI Registration & Enumeration August 01, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194554535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2024
Last Update: January 26, 2026
Sole Proprietor: No

Other Dentist - General Practices in St Augustine

All Dentist - General Practices in St Augustine

Mailing Address

278 Tidal Beach Ave

St Augustine, FL 320950148

Phone: 9086706108

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.