Active NPI 1689631038 Individual Practitioner Female Practitioner

Dr. Ruth A Rustad , MD

Dermatology • White Bear Lake, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ruth Rustad, MD is a certified Dermatology practicing in White Bear Lake, MN. With approximately 32 years of clinical experience since graduating from University Of Minnesota Medical School in 1994, Dr. Rustad delivers high-quality medical care to the local community at 4480 CENTERVILLE RD.

Dr. Rustad is affiliated with Advanced Dermatology Care Medical Cosmetic And Surgery Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, ultrasonic guidance for placement of radiation therapy fields. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4480 Centerville Rd

White Bear Lake, MN 551273674

Telephone 6514842724

Fax 6514842723

Associated Practice Facility / Clinic

🏢 Advanced Dermatology Care Medical Cosmetic And Surgery Pa Facility NPI 1073614558

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in White Bear Lake, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -2.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

2 Specialists

Practicing in White Bear Lake, MN (337 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

10.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rustad (32 Years) 32 Yrs

White Bear Lake Specialty Average (34.5 Years) 34.5 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	255	146	$136.91	$125.21
17003 Destruction of precancer skin growth, 2-14 growths	231	47	$7.08	$6.72
G6001 Ultrasonic guidance for placement of radiation therapy fields	203	33	$193.15	$181.21
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	193	32	$290.77	$271.42
77401 Radiation treatment delivery, superficial	184	32	$44.66	$41.99
99213 Established patient office or other outpatient visit, typically 15 minutes	165	117	$95.79	$88.74
17110 Destruction of up to 14 skin growths	111	78	$122.24	$107.44
17000 Destruction of skin growth	107	78	$69.57	$48.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$58.92	$55.42
17111 Destruction of skin growth, 15 or more growths	14	12	$136.00	$132.15
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	11	11	$106.00	$68.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	240	48	$7.70	$6.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	140	$140.39	$124.32
G6001 Ultrasonic guidance for placement of radiation therapy fields	166	24	$248.69	$182.40
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	158	23	$394.25	$273.07
77401 Radiation treatment delivery, superficial	151	23	$60.34	$41.63
99213 Established patient office or other outpatient visit, typically 15 minutes	125	102	$96.69	$88.25
17000 Destruction of skin growth	113	76	$71.96	$54.02
17110 Destruction of up to 14 skin growths	91	70	$125.31	$112.02
77427 Radiation treatment management, 5 treatments	32	21	$280.69	$185.51
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	20	16	$412.00	$384.96
11200 Removal of skin tag, 1-15 skin tags	19	16	$95.11	$59.27
96574 Application of light with debridement to destroy precancer skin growth	16	16	$329.63	$285.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$66.00	$55.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	355	85	$7.51	$6.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	194	$137.94	$126.40
17000 Destruction of skin growth	175	128	$72.70	$48.69
17110 Destruction of up to 14 skin growths	161	105	$121.30	$110.06
99213 Established patient office or other outpatient visit, typically 15 minutes	133	105	$98.44	$89.34
G6001 Ultrasonic guidance for placement of radiation therapy fields	85	14	$307.00	$181.90
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	81	14	$502.00	$273.17
77401 Radiation treatment delivery, superficial	73	14	$77.00	$41.86
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	40	29	$410.50	$388.23
96574 Application of light with debridement to destroy precancer skin growth	33	29	$304.48	$294.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$170.17	$163.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$57.00	$55.77
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	18	17	$106.00	$69.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$112.00	$110.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	227	46	$7.42	$6.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	133	$136.11	$128.99
99213 Established patient office or other outpatient visit, typically 15 minutes	131	102	$93.79	$90.84
17000 Destruction of skin growth	100	68	$73.16	$50.54
17110 Destruction of up to 14 skin growths	96	61	$127.24	$111.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$189.62	$167.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$61.09	$56.66
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	20	15	$415.00	$387.74
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	13	$162.60	$110.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$117.21	$111.79

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	135	95	$117.21	$108.88
99213 Established patient office or other outpatient visit, typically 15 minutes	123	83	$78.51	$75.09
17003 Destruction of precancer skin growth, 2-14 growths	115	33	$7.40	$6.22
17000 Destruction of skin growth	77	57	$71.69	$56.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$169.42	$107.58
17110 Destruction of up to 14 skin growths	39	32	$115.72	$108.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$51.17	$45.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	145	39	$6.22	$5.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	85	$117.74	$106.49
99213 Established patient office or other outpatient visit, typically 15 minutes	104	75	$81.10	$73.17
17000 Destruction of skin growth	85	60	$71.02	$53.90
17110 Destruction of up to 14 skin growths	39	31	$118.85	$108.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$117.79	$106.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$47.67	$44.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	160	32	$6.62	$5.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	72	$127.92	$105.45
99213 Established patient office or other outpatient visit, typically 15 minutes	85	61	$85.22	$70.02
17000 Destruction of skin growth	73	45	$80.05	$52.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$136.75	$103.08
17110 Destruction of up to 14 skin growths	18	17	$139.72	$102.35
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	13	11	$161.00	$105.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	74	17	$25.00	$5.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	47	$230.00	$104.10
17000 Destruction of skin growth	43	32	$180.00	$52.60
99213 Established patient office or other outpatient visit, typically 15 minutes	41	33	$157.00	$70.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$233.00	$105.21
17110 Destruction of up to 14 skin growths	25	17	$247.00	$110.12
11100 Biopsy of single growth of skin and/or tissue	12	11	$230.00	$90.71

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MN 38316

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MN 38316

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Medicare

110202652 (MN)

Hospital & Practice Group Affiliations

Advanced Dermatology Care Medical Cosmetic And Surgery Pa

25 Lake St N, Forest Lake, MN 550252537

Phone: 6514302724

Advanced Dermatology Care Medical Cosmetic And Surgery Pa

14130 60th St N, Stillwater, MN 550826354

Phone: 6514842724

Advanced Dermatology Care Medical Cosmetic And Surgery Pa

4480 Centerville Rd, White Bear Lake, MN 551273674

Phone: 6514842724

Practice Associates & Co-Workers

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

9 Associated Practitioners

Emmah Griswold , PA-C

Physician Assistant

NPI 1013884691

Physician Assistant (Certified)

Brooke Elvehjem , PA-C

Physician Assistant

NPI 1174281034

Physician Assistant (Certified)

Dr. Olaf Rustad , MD

Dermatology

NPI 1174586440

Doctor of Medicine (M.D.)

Vanessa Seiberlich

Physician Assistant

NPI 1275265514

Abigail Tracy , PA-C

Physician Assistant

NPI 1336724590

Physician Assistant (Certified)

Allison Nelson , PA-C

Physician Assistant

NPI 1497399901

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 01, 2012

Registered at 4480 CENTERVILLE RD, WHITE BEAR LAKE, MN 551273674 (Tel: 6514842724)

📍

Updated Business Mailing Address August 01, 2012

Registered at 4480 CENTERVILLE RD, WHITE BEAR LAKE, MN 551273674 (Tel: 6514842724)

👤

Provider Name / Credentials Updated August 01, 2012

Recorded as RUTH RUSTAD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2012

Dermatology (License #38316 in MN)

🟢

Initial NPI Registration & Enumeration April 28, 2006

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: 1689631038

Entity Type:

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

Enumeration Date: April 28, 2006

Last Update: August 01, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4480 Centerville Rd

White Bear Lake, MN 551273674

Phone: 6514842724

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.