Active NPI 1790806578 Individual Practitioner Male Practitioner

Dr. Benjamin Terrell Rush , DO

Surgery • Montgomery, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Rush, DO is a certified Surgery practicing in Montgomery, AL. With approximately 27 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 1999, Dr. Rush delivers high-quality medical care to the local community at 2055 E SOUTH BLVD STE 503.

Dr. Rush is affiliated with Montgomery Vascular Surgery, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound study of arm and leg arteries, ultrasound of both sides of head and neck blood flow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2055 E South Blvd Ste 503

Montgomery, AL 361162004

Telephone 3342846500

Fax 3342846202

Associated Practice Facility / Clinic

🏢 Montgomery Vascular Surgery, P.c. Facility NPI 1225059165

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Montgomery, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +2.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

27 Specialists

Practicing in Montgomery, AL (471 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rush (27 Years) 27 Yrs

Montgomery Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	194	$175.00	$104.45
93922 Ultrasound study of arm and leg arteries	182	94	$150.00	$54.07
93880 Ultrasound of both sides of head and neck blood flow	113	112	$260.00	$142.65
93990 Ultrasound of dialysis access	105	52	$275.00	$103.95
93925 Ultrasound of leg arteries or artery grafts	100	56	$310.00	$188.50
93970 Ultrasound study of arm or leg veins with compression and maneuvers	76	50	$300.00	$143.51
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	70	52	$300.00	$131.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	59	$290.00	$147.41
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	57	20	$200.00	$128.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	38	$250.00	$148.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$230.00	$141.40
93926 Ultrasound of one leg arteries or artery grafts	44	28	$190.00	$95.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	27	$55.00	$42.00
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	40	22	$155.00	$92.89
93923 Complete ultrasound study of arm and leg arteries	36	36	$190.00	$95.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$195.00	$110.39
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	26	13	$15750.00	$8652.56
93882 Ultrasound of one side of head and neck blood flow	25	20	$175.00	$95.54
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	24	22	$1400.00	$676.76
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$105.00	$77.39
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	21	17	$2000.00	$925.26
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$145.00	$69.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$105.00	$66.51
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	11	11	$350.00	$123.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$375.00	$190.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	157	$164.33	$116.04
93922 Ultrasound study of arm and leg arteries	144	84	$128.13	$60.76
93990 Ultrasound of dialysis access	113	53	$247.39	$113.26
93880 Ultrasound of both sides of head and neck blood flow	100	98	$260.00	$165.51
93925 Ultrasound of leg arteries or artery grafts	63	43	$310.00	$210.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	58	$290.00	$163.30
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	59	42	$300.00	$153.75
99213 Established patient office or other outpatient visit, typically 15 minutes	57	54	$105.00	$82.73
93970 Ultrasound study of arm or leg veins with compression and maneuvers	49	34	$300.00	$155.39
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	45	13	$200.00	$151.19
93923 Complete ultrasound study of arm and leg arteries	44	40	$190.00	$111.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	24	$55.00	$46.67
93926 Ultrasound of one leg arteries or artery grafts	34	25	$190.00	$109.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$230.00	$154.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$105.00	$74.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	23	$155.00	$106.45
93882 Ultrasound of one side of head and neck blood flow	28	24	$175.00	$107.59
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	26	23	$1653.85	$1080.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$239.20	$166.01
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	17	11	$15750.00	$9956.87
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	15	14	$1400.00	$790.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$150.00	$103.91
35301 Removal of blood clot and portion of artery of neck	14	12	$2200.00	$1029.92
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	11	11	$5200.00	$3798.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	284	207	$105.00	$85.00
93990 Ultrasound of dialysis access	131	65	$215.00	$120.34
93922 Ultrasound study of arm and leg arteries	122	77	$120.00	$61.31
93880 Ultrasound of both sides of head and neck blood flow	93	90	$260.00	$173.43
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$105.00	$69.93
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	47	30	$155.00	$108.09
93923 Complete ultrasound study of arm and leg arteries	45	44	$190.00	$108.88
93925 Ultrasound of leg arteries or artery grafts	41	29	$310.00	$207.11
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	39	36	$300.00	$167.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$290.00	$192.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	23	$55.00	$37.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$150.00	$96.39
93970 Ultrasound study of arm or leg veins with compression and maneuvers	34	31	$300.00	$152.85
93926 Ultrasound of one leg arteries or artery grafts	31	24	$190.00	$108.63
93882 Ultrasound of one side of head and neck blood flow	22	21	$175.00	$116.34
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	20	17	$1400.00	$1172.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$195.00	$131.03
35301 Removal of blood clot and portion of artery of neck	14	13	$2200.00	$1111.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	343	220	$105.00	$86.10
93990 Ultrasound of dialysis access	164	79	$215.00	$118.47
93922 Ultrasound study of arm and leg arteries	102	57	$120.00	$67.26
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$105.00	$66.64
93880 Ultrasound of both sides of head and neck blood flow	79	79	$260.00	$180.87
93923 Complete ultrasound study of arm and leg arteries	58	50	$190.00	$117.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$290.00	$194.30
93926 Ultrasound of one leg arteries or artery grafts	33	19	$190.00	$117.40
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	31	19	$155.00	$109.99
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	30	26	$1400.00	$1233.43
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	30	25	$300.00	$168.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$60.00	$51.52
93925 Ultrasound of leg arteries or artery grafts	24	20	$310.00	$227.98
93970 Ultrasound study of arm or leg veins with compression and maneuvers	22	22	$300.00	$181.50
93882 Ultrasound of one side of head and neck blood flow	18	16	$175.00	$98.78
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	15	12	$15750.00	$12598.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$195.00	$131.99
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	11	$315.38	$140.02
75716 Review by radiologist of both arms or legs arteries image	13	12	$410.00	$163.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$55.00	$37.31
36907 Balloon dilation of dialysis segment with review by radiologist	12	12	$750.00	$575.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	516	310	$105.00	$70.47
93990 Ultrasound of dialysis access	253	119	$215.00	$122.33
93922 Ultrasound study of arm and leg arteries	124	86	$120.00	$64.78
93880 Ultrasound of both sides of head and neck blood flow	78	78	$248.72	$168.80
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$105.00	$70.55
76937 Ultrasonic guidance for blood vessel access	75	61	$75.00	$33.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	59	$195.00	$134.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	46	$290.00	$193.93
93926 Ultrasound of one leg arteries or artery grafts	45	32	$190.00	$118.73
93923 Complete ultrasound study of arm and leg arteries	41	39	$190.00	$117.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$60.00	$39.30
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	36	32	$1400.00	$1172.68
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	35	25	$155.00	$108.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$150.00	$100.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	24	$55.00	$38.32
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	25	22	$300.00	$169.84
76937 Ultrasonic guidance for blood vessel access	22	18	$75.00	$14.29
93970 Ultrasound study of arm or leg veins with compression and maneuvers	20	19	$286.80	$155.02
93925 Ultrasound of leg arteries or artery grafts	19	15	$310.00	$208.81
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	19	17	$300.00	$80.13
36832 Revision of dialysis graft, open procedure	14	13	$1285.00	$689.15
93986 Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access	13	13	$160.00	$124.25
36907 Balloon dilation of dialysis segment with review by radiologist	12	11	$750.00	$643.49
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	12	12	$650.00	$646.74
93882 Ultrasound of one side of head and neck blood flow	11	11	$175.00	$111.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	384	247	$105.00	$67.73
93990 Ultrasound of dialysis access	278	123	$215.00	$119.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	242	134	$60.00	$41.40
93922 Ultrasound study of arm and leg arteries	147	98	$115.82	$62.76
76937 Ultrasonic guidance for blood vessel access	91	71	$75.53	$31.07
93880 Ultrasound of both sides of head and neck blood flow	87	86	$249.89	$163.20
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$105.00	$70.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	59	$195.00	$130.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$290.00	$189.09
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	48	36	$155.00	$108.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$150.00	$99.52
76937 Ultrasonic guidance for blood vessel access	36	29	$75.00	$13.70
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	35	31	$1211.86	$1123.93
93926 Ultrasound of one leg arteries or artery grafts	35	25	$190.00	$105.06
93923 Complete ultrasound study of arm and leg arteries	30	28	$190.00	$116.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	19	$55.00	$37.44
93925 Ultrasound of leg arteries or artery grafts	26	25	$259.04	$194.89
36825 Connection of donor vein to an artery and vein for dialysis	25	23	$1500.00	$652.37
35301 Removal of blood clot and portion of artery of neck	22	21	$1534.32	$693.09
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	22	20	$300.00	$157.53
28810 Amputation of foot	21	12	$655.00	$317.38
93882 Ultrasound of one side of head and neck blood flow	20	18	$175.00	$103.98
36832 Revision of dialysis graft, open procedure	19	19	$1285.00	$705.49
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	19	$297.63	$177.20
36907 Balloon dilation of dialysis segment with review by radiologist	19	16	$750.00	$655.50
27590 Amputation of thigh through thigh bone	16	14	$1789.06	$611.04
11044 Removal of bone, 20.0 sq cm or less	15	12	$535.00	$180.34
93924 Ultrasound study of arteries of both legs at rest and exercise	15	15	$30.00	$23.52
36830 Connection of tube graft to vein and artery for dialysis	14	14	$1108.21	$510.78
37225 Removal of plaque in arteries of leg	14	11	$11650.00	$8635.47
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	14	14	$5193.57	$4851.96
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	13	13	$270.00	$94.74
37229 Removal of plaque in artery of leg, initial vessel	12	11	$11105.83	$10538.32
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	12	12	$645.83	$589.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	364	255	$105.00	$66.20
93990 Ultrasound of dialysis access	265	135	$215.00	$118.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	231	148	$60.00	$40.40
93922 Ultrasound study of arm and leg arteries	127	83	$120.00	$69.12
93880 Ultrasound of both sides of head and neck blood flow	99	95	$260.00	$173.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	77	$195.00	$129.25
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$105.00	$67.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	49	$290.00	$191.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$150.00	$95.73
36830 Connection of tube graft to vein and artery for dialysis	44	41	$1056.70	$465.91
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	43	35	$155.00	$105.93
93926 Ultrasound of one leg arteries or artery grafts	41	33	$190.00	$119.44
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	40	30	$300.00	$170.06
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	36	32	$800.00	$196.65
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	35	31	$1145.00	$1095.64
93882 Ultrasound of one side of head and neck blood flow	32	29	$175.00	$96.79
36832 Revision of dialysis graft, open procedure	28	27	$908.93	$513.51
36831 Removal of blood clot from dialysis graft, open procedure	26	26	$880.96	$516.08
35301 Removal of blood clot and portion of artery of neck	25	23	$1100.20	$522.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	18	$55.00	$34.43
93923 Complete ultrasound study of arm and leg arteries	21	21	$190.00	$111.43
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$255.00	$169.97
93925 Ultrasound of leg arteries or artery grafts	20	15	$310.00	$236.58
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	19	19	$270.00	$95.75
34812 Incision of artery in one thigh for insertion of prosthesis, open procedure	16	11	$336.25	$95.36
37607 Tying or banding of a passage between an artery and vein	15	13	$540.00	$246.02
36825 Connection of donor vein to an artery and vein for dialysis	15	14	$1476.67	$658.16
76937 Ultrasonic guidance for blood vessel access	14	14	$75.00	$13.82
27590 Amputation of thigh through thigh bone	14	13	$1874.29	$648.49
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	13	13	$543.46	$531.02
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	13	13	$5110.00	$5025.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$230.00	$143.07
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	11	11	$2065.00	$425.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	383	277	$180.82	$65.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	246	197	$175.82	$39.21
99202 New patient office or other outpatient visit, typically 20 minutes	138	138	$185.82	$67.27
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	94	63	$237.00	$20.03
93970 Ultrasound study of arm or leg veins with compression and maneuvers	66	57	$350.00	$32.45
36415 Insertion of needle into vein for collection of blood sample	49	38	$15.00	$2.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	39	$185.82	$97.05
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	31	21	$4200.00	$1055.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$190.82	$95.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	18	$55.00	$36.76
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$135.00	$94.38

Medical Specialties & State Licenses

CMS Verified: 2026-03-13

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 1495

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License AL DO.1495

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License MS 19038

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

08175829 (MS)

Hospital & Practice Group Affiliations

Montgomery Vascular Surgery, P.c.

2055 E S Blvd, Montgomery, AL 361162004

Phone: 3342846500

Secondary Practice Locations

1023 Medical Center Pkwy Ste 407

Selma, AL 367016714

Phone: 3342846500

1501 Forest Ave

Montgomery, AL 361061539

Phone: 3345937434

277 Huntress St Ste 201

Wetumpka, AL 360923342

Phone: 3342846500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Jenna Sellers , CRNP

Nurse Practitioner - Family

NPI 1023493665

Certified Registered Nurse Practitioner

Dr. Ahmed Raza , MD

Surgery - Vascular Surgery

NPI 1154859049

Doctor of Medicine (M.D.)

Destiny Dean , CRNP

Nurse Practitioner - Family

NPI 1194342469

Certified Registered Nurse Practitioner

Dr. Emily Austin , MD

Surgery - Vascular Surgery

NPI 1225614654

Doctor of Medicine (M.D.)

Dr. Robert Engles , MD, FACS

Surgery - Vascular Surgery

NPI 1396766242

Doctor of Medicine (M.D.), FACS

Dr. Charles Ingalls , MD, FACS

Specialist

NPI 1740203744

Doctor of Medicine (M.D.), FACS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2026

Surgery (License #1495 in AL)

📍

Updated Practice Location December 17, 2020

Registered at 2055 E SOUTH BLVD STE 503, MONTGOMERY, AL 361162004 (Tel: 3342846500)

📍

Updated Business Mailing Address December 17, 2020

Registered at 2055 E SOUTH BLVD STE 503, MONTGOMERY, AL 361162004 (Tel: 3342846500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Surgery (License #DO.1495 in AL)

📍

Updated Practice Location April 25, 2018

Registered at 2055 E SOUTH BLVD STE 908, MONTGOMERY, AL 361162007 (Tel: 3342846500)

📍

Updated Business Mailing Address April 25, 2018

Registered at 2055 E SOUTH BLVD STE 908, MONTGOMERY, AL 361162007 (Tel: 3342846500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2018

Surgery (License #1495 in AL)

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NPI Profile Active November 07, 2013

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2013

Registered at 1800 12TH ST, MERIDIAN, MS 393014158 (Tel: 6017034600)

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Updated Business Mailing Address November 07, 2013

Registered at PO BOX 5183, MERIDIAN, MS 393025183 (Tel: 6017034282)

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Provider Name / Credentials Updated November 07, 2013

Recorded as BENJAMIN RUSH, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2013

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #19038 in MS)

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Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790806578

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 02, 2007

Last Update: March 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2055 E South Blvd Ste 503

Montgomery, AL 361162004

Phone: 3342846500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.