Active NPI 1215080395 Individual Practitioner Male Practitioner

Dr. Scott R. Roustio , MD

Emergency Medicine • O Fallon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Roustio, MD is a certified Emergency Medicine practicing in O Fallon, IL. With approximately 35 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1991, Dr. Roustio delivers high-quality medical care to the local community at 8422 BRAESWOOD ESTATES DR.

Dr. Roustio is affiliated with Midwest Emergency Good Samaritan, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8422 Braeswood Estates Dr

O Fallon, IL 622694235

Telephone 6186240091

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in O Fallon, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +15.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

23 Specialists

Practicing in O Fallon, IL (3389 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roustio (35 Years) 35 Yrs

O Fallon Specialty Average (19.5 Years) 19.5 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
99284 Emergency department visit with moderate level of medical decision making	283	266	$1129.26	$120.13
99285 Emergency department visit for life threatening or functioning severity	277	254	$1636.77	$172.98
99291 Critical care, first 30-74 minutes	82	80	$2431.49	$208.27
99283 Emergency department visit with low level of medical decision making	78	72	$769.88	$69.57
99282 Emergency department visit with straightforward medical decision making	23	22	$421.39	$42.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	310	292	$1631.68	$174.56
99284 Emergency department visit with moderate level of medical decision making	263	246	$1107.86	$120.25
99282 Emergency department visit with straightforward medical decision making	106	88	$407.45	$42.42
99283 Emergency department visit with low level of medical decision making	65	63	$742.11	$72.53
99291 Critical care, first 30-74 minutes	57	54	$2412.47	$210.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	403	379	$1630.20	$179.61
99284 Emergency department visit with moderate level of medical decision making	201	195	$1085.43	$123.19
99283 Emergency department visit with low level of medical decision making	91	86	$715.57	$73.51
99291 Critical care, first 30-74 minutes	89	88	$2392.08	$217.83
99282 Emergency department visit with straightforward medical decision making	84	78	$383.95	$42.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	401	374	$1625.30	$180.58
99284 Emergency department visit with moderate level of medical decision making	220	205	$1059.16	$124.17
99283 Emergency department visit with low level of medical decision making	106	102	$698.53	$73.40
99291 Critical care, first 30-74 minutes	94	94	$2388.89	$219.47
99282 Emergency department visit with straightforward medical decision making	48	48	$363.92	$43.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	360	341	$1617.61	$177.04
99284 Emergency department visit with moderate level of medical decision making	194	191	$1044.78	$121.87
99283 Emergency department visit with low level of medical decision making	86	84	$683.99	$66.82
99291 Critical care, first 30-74 minutes	65	62	$2403.42	$224.86
99282 Emergency department visit with straightforward medical decision making	26	25	$344.46	$44.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	667	588	$1620.06	$173.16
99284 Emergency department visit with moderate level of medical decision making	228	215	$999.43	$118.76
99283 Emergency department visit with low level of medical decision making	109	108	$649.39	$62.17
99291 Critical care, first 30-74 minutes	96	95	$2354.21	$221.98
99282 Emergency department visit with straightforward medical decision making	30	30	$327.07	$42.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	686	608	$1607.39	$173.62
99284 Emergency department visit with moderate level of medical decision making	279	264	$986.03	$117.24
99283 Emergency department visit with low level of medical decision making	207	189	$629.71	$61.62
99291 Critical care, first 30-74 minutes	53	53	$2292.45	$221.84
99282 Emergency department visit with straightforward medical decision making	49	45	$310.35	$41.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	647	595	$1460.26	$173.06
99284 Emergency department visit with moderate level of medical decision making	255	249	$879.24	$116.86
99283 Emergency department visit with low level of medical decision making	104	102	$583.40	$61.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	79	67	$61.00	$8.14
99291 Critical care, first 30-74 minutes	26	26	$1875.96	$221.43
99282 Emergency department visit with straightforward medical decision making	25	25	$299.84	$41.17

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IL 036-087697

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Midwest Emergency Good Samaritan, Inc

1 Good Samaritan Way, Mount Vernon, IL 628642402

Phone: 6182424600

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 20, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2013

Registered at 8422 BRAESWOOD ESTATES DR, O FALLON, IL 622694235 (Tel: 6186240091)

📍

Updated Business Mailing Address May 20, 2013

Registered at 8422 BRAESWOOD ESTATES DR, O FALLON, IL 622694235 (Tel: 6186240091)

👤

Provider Name / Credentials Updated May 20, 2013

Recorded as SCOTT ROUSTIO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2013

Emergency Medicine (License #036-087697 in IL)

🟢

Initial NPI Registration & Enumeration January 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215080395

Entity Type:

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

Enumeration Date: January 19, 2007

Last Update: May 20, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8422 Braeswood Estates Dr

O Fallon, IL 622694235

Phone: 6186240091

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.