Active NPI 1114193356 Individual Practitioner Male Practitioner

Kipp Edward Rustenholtz , PA-C

Physician Assistant • Okemos, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kipp Rustenholtz, PA-C is a certified Physician Assistant practicing in Okemos, MI. With approximately 18 years of clinical experience since completing medical education in 2008, Kipp Rustenholtz delivers high-quality medical care to the local community at 3413 WOODS EDGE.

Kipp Rustenholtz is affiliated with Iha Health Services Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3413 Woods Edge

Okemos, MI 488645901

Telephone 5173493303

Associated Practice Facility / Clinic

🏢 Lansing Cardiovascular Consultants Pc Facility NPI 1548301880

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Okemos, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +10.9 yrs vs City Avg

City Avg: 7.1 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

27 Specialists

Practicing in Okemos, MI (7057 Statewide)

Telehealth Adoption Rate

18.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rustenholtz (18 Years) 18 Yrs

Okemos Specialty Average (7.1 Years) 7.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	213	198	$174.39	$72.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$238.59	$89.49
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	74	71	$102.42	$67.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	50	$262.48	$102.01
81003 Automated urinalysis test	47	46	$9.00	$2.15
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$32.00	$16.20
90471 Administration of 1 vaccine	12	12	$47.83	$14.87
69209 Removal of impacted ear wax by washing	12	12	$40.08	$14.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	211	$159.26	$72.93
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$143.56	$58.76
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	72	72	$101.00	$42.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$234.06	$92.09
81003 Automated urinalysis test	34	33	$9.00	$2.14
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	31	31	$32.00	$15.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	139	$142.02	$75.95
99202 New patient office or other outpatient visit, typically 20 minutes	147	147	$140.00	$61.40
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	33	33	$101.00	$30.44
81003 Automated urinalysis test	33	33	$9.00	$2.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	26	$44.00	$18.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$86.67	$46.62
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$55.00	$32.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	156	$134.09	$78.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$198.94	$95.46
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	45	45	$52.24	$35.33
81003 Automated urinalysis test	17	17	$8.53	$2.25
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$59.50	$12.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	153	$127.49	$65.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	42	$81.00	$39.25
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$134.00	$66.16
81003 Automated urinalysis test	17	16	$7.82	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$180.57	$92.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$190.09	$90.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	65	$115.61	$63.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$170.24	$93.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$185.00	$94.78
81003 Automated urinalysis test	15	15	$7.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	35	$106.56	$58.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$171.54	$92.71

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	55	52	$158.36	$88.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$135.78	$88.83
81002 Urinalysis, manual test	12	12	$13.75	$3.43

Medical Specialties & State Licenses

CMS Verified: 2024-11-15

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Iha Health Services Corporation

202 W Highland Rd, Howell, MI 488431162

Iha Health Services Corporation

10200 Prof Ctr Dr, Hamburg, MI 481390799

Phone: 8102316080

Iha Health Services Corporation

128 Van Buren St, Chelsea, MI 481181623

Phone: 7344758677

Iha Health Services Corporation

1255 E M, Pinckney, MI 481698133

Phone: 7348781000

Iha Health Services Corporation

1471 E Beltline Ave Ne, Grand Rapids, MI 495254548

Phone: 6164107701

Iha Health Services Corporation

14288 E Old Us Hwy 12, Chelsea, MI 481182700

Iha Health Services Corporation

212 S Main St, Brooklyn, MI 492309114

Iha Health Services Corporation

2305 Genoa Bus Park Dr, Brighton, MI 481147005

Iha Health Services Corporation

4400 Highland Rd, Waterford, MI 483281222

Phone: 2486186000

Iha Health Services Corporation

5505 S Old Us 23, Brighton, MI 481167524

Phone: 7348877888

Iha Health Services Corporation

4200 Whitehall Dr, Ann Arbor, MI 481059694

Iha Health Services Corporation

5505 S Old Us, Brighton, MI 481167524

Iha Health Services Corporation

44428 Woodward Ave, Pontiac, MI 483415009

Phone: 7347128700

Secondary Practice Locations

1881 W Grand River Ave

Okemos, MI 488641840

Phone: 5173392100

Practice Associates & Co-Workers

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

11 Associated Practitioners

Allison Tichenor , CRNP

Nurse Practitioner - Family

NPI 1114397841

Certified Registered Nurse Practitioner

Haley Warnemuende , NP

Nurse Practitioner - Family

NPI 1124769369

Nurse Practitioner

Dr. Smruti Parikh , MD

Nuclear Medicine

NPI 1174692644

Doctor of Medicine (M.D.)

Caitlin Mathison , PA-C

Physician Assistant - Medical

NPI 1194152553

Physician Assistant (Certified)

Timothy Sloan , PA-C

Physician Assistant - Medical

NPI 1265623425

Physician Assistant (Certified)

Olivia Cusumano , PA-C

Physician Assistant

NPI 1306522776

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location November 15, 2024

Registered at 3413 WOODS EDGE, OKEMOS, MI 488645901 (Tel: 5173493303)

✅

NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2018

Registered at 1881 W GRAND RIVER AVE, OKEMOS, MI 488641840 (Tel: 5173392100)

📍

Updated Business Mailing Address January 10, 2018

Registered at 1147 TEAKWOOD CIR, HASLETT, MI 488409734 (Tel: 5173390188)

👤

Provider Name / Credentials Updated January 10, 2018

Recorded as KIPP RUSTENHOLTZ, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Physician Assistant

✅

NPI Profile Active May 07, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 07, 2008

Registered at 1147 TEAKWOOD CIR, HASLETT, MI 488409734 (Tel: 5173390188)

📍

Updated Business Mailing Address May 07, 2008

Registered at 1147 TEAKWOOD CIR, HASLETT, MI 488409734 (Tel: 5173390188)

👤

Provider Name / Credentials Updated May 07, 2008

Recorded as KIPP RUSTENHOLTZ, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2008

Physician Assistant

🟢

Initial NPI Registration & Enumeration May 07, 2008

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: 1114193356

Entity Type:

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

Enumeration Date: May 07, 2008

Last Update: November 15, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1147 Teakwood Cir

Haslett, MI 488409734

Phone: 5173390188

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.