Kelly Rustico
Dentist β’ Columbus, OH
305 W 12th Ave
Columbus, OH 432101267
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 7, 2015; this date does not establish years in practice.
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Published CMS data list 18 Medicare Part D prescriptions, including refills, in 2017.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2017. Published rows only; this is not a quality measure.
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Published Part D records, 2017:
- Amoxicillin β 18 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2017. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table Β· Guide: How to read Medicare Part D prescriber data
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Medicare Part D prescriptions went from 108 in 2016 to 18 in 2017.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2016β2017.
Practice Location & Contact Primary Location
305 W 12th Ave
Columbus, OH 432101267
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Arlington, VA; San Diego, CA. 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.
What Public CMS Data Show
Dentist: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
18 standardized 30-day fills in 2017
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
$55 in 2017
The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 β by Provider and Drug, 2017.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2015
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, βDoes your provider accept Medicare as full payment?β
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.
Enrolled in Medicare (PECOS)
Kelly Rustico has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Kelly Rustico as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Columbus and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Kelly Rustico are from 2017.
302 active clinicians are listed under Dentist with a practice address in Columbus, OH (2,791 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Columbus
0% of these 302 clinicians have the CMS telehealth indicator.
0.3% of these 302 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 83% from 108 in 2016 to 18 in 2017.
- 2016: 108
- 2017: 18
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30-day fills
30-day fills decreased 83% from 108 in 2016 to 18 in 2017.
- 2016: 108
- 2017: 18
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Part D drug cost
Part D drug cost went from $492 in 2016 to $55 in 2017.
- 2016: $492
- 2017: $55
Sources: CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2017.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amoxicillin | Amoxicillin | 18 | 68 | $55.45 | 17 |
Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-10-29NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
NUCC Taxonomy Code: 1223G0001X
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.
NUCC Taxonomy Code: 1223G0001X
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.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - DENTIST
I20160506001962
VA
2062711377
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
1600 Wilson Blvd Ste 620
Arlington, VA 222092596
Phone: 7035240288
4725 Market St
San Diego, CA 921024715
Phone: 6195152420
305 W 12th Ave
Columbus, OH 432101267
Phone: 6142920880
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist - Oral and Maxillofacial Surgery
Doctor of Dental Surgery
Dentist - Periodontics
Doctor of Dental Surgery
Dentist
Dentist
Doctor of Dental Surgery
Dentist
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6142920880)
Registered at 1189 LEICESTER PL, COLUMBUS, OH 432352181 (Tel: 6144601694)
Dentist (license number reported to NPPES: CA DDS102193)
Registered at 1600 WILSON BLVD STE 620, ARLINGTON, VA 222092596 (Tel: 7035240288)
Registered at 1225 MARTHA CUSTIS DR APT 1119, ALEXANDRIA, VA 223022022 (Tel: 6144601694)
Registered at 4725 MARKET ST, SAN DIEGO, CA 921024715 (Tel: 6195152420)
Registered at 8233 STATION VILLAGE LN UNIT 2104, SAN DIEGO, CA 921086584 (Tel: 6144601694)
Registered at 4725 MARKET ST, SAN DIEGO, CA 921024715 (Tel: 6195152420)
Registered at 8233 STATION VILLAGE LN UNIT 2104, SAN DIEGO, CA 921086584 (Tel: 6144601694)
Dentist (license number reported to NPPES: OH 30.025097)
NPI status registered as active in NPPES database
Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6142920880)
Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: (614) 292-0880)
Recorded as KELLY RUSTICO
Dentist (license number reported to NPPES: OH 30.025097)
NPI status registered as active in NPPES database
Registered at 1215 LEE ST, BOX 800740, CHARLOTTESVILLE, VA 229080816 (Tel: 4349241774)
Registered at 1215 LEE ST, BOX 800740, CHARLOTTESVILLE, VA 229080816 (Tel: 4349241774)
Recorded as KELLY RUSTICO
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentists in Columbus
- Dr. Mitchell Hobbs, DDS
- Dr. Julia Hill, DMD
- Dr. Patrick Mckinley, DDS
- Dr. Timothy Weaver, DDS
- Dr. Seth Dawson, DDS
- Dr. William Henderson, DMD
Mailing Address
1189 Leicester Pl
Columbus, OH 432352181
Phone: 6144601694