Deactivated NPI 1306931621 Deactivated / Inactive NPI Male Practitioner

Dr. Elliott Lovland Rustad , MD

Dermatology • Lincoln, NE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Elliott Rustad has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2006

NPI Deactivation Date April 24, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Elliott Rustad, MD was a registered Dermatology practicing in Lincoln, NE. Throughout an active medical career spanning 19 years, Dr. Rustad provided care at the practice location at 1919 S 40TH ST until profile deactivation on 2025-04-24.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1919 S 40th St
Suite 330

Lincoln, NE 685065243

Telephone 4024846222

Fax 4024846253

Associated Practice Facility / Clinic

🏢 Optimal Dental, P.c. Facility NPI 1609864172

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Lincoln, NE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.5 Yrs

State Avg: 20.7 Yrs

Regional Practice Density

20 Specialists

Practicing in Lincoln, NE (78 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	614	90	$15.00	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	267	206	$126.00	$68.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	111	$79.00	$40.97
17000 Destruction of skin growth	132	115	$135.00	$49.57
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$128.00	$69.58
11102 Tangential biopsy of single skin lesion	60	56	$160.00	$81.97
17110 Destruction of up to 14 skin growths	40	40	$182.00	$95.19
17004 Destruction of precancer skin growth, 15 or more growths	24	23	$275.00	$143.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	14	$2.50	$1.54
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	18	12	$320.00	$90.31
11900 Injection into skin growth, 1-7 growths	17	13	$96.00	$50.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$180.00	$99.31
11200 Removal of skin tag, 1-15 skin tags	11	11	$147.00	$65.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,792	290	$15.05	$4.92
99213 Established patient office or other outpatient visit, typically 15 minutes	998	532	$126.00	$66.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	632	373	$79.16	$40.52
17000 Destruction of skin growth	585	344	$135.00	$47.44
99202 New patient office or other outpatient visit, typically 20 minutes	272	272	$128.00	$69.05
17110 Destruction of up to 14 skin growths	232	196	$182.00	$89.44
11102 Tangential biopsy of single skin lesion	193	152	$160.00	$79.90
17004 Destruction of precancer skin growth, 15 or more growths	135	86	$275.00	$135.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	113	58	$2.50	$1.58
11900 Injection into skin growth, 1-7 growths	91	55	$96.00	$40.63
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	78	59	$320.00	$102.47
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	63	41	$184.00	$80.22
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	58	29	$185.00	$55.03
11103 Biopsy of related skin growth, each additional growth	56	38	$87.00	$47.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$180.00	$96.55
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	41	36	$905.00	$410.49
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	35	30	$181.00	$103.74
99201 New patient office or other outpatient visit, typically 10 minutes	35	35	$78.00	$40.46
11200 Removal of skin tag, 1-15 skin tags	33	32	$147.00	$56.31
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	32	28	$326.00	$172.41
11600 Removal of malignant growth (0.5 centimeters or less) of the trunk, arms, or legs	30	23	$308.00	$95.12
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	28	19	$164.00	$67.40
69100 Biopsy of ear	28	26	$169.00	$63.25
11620 Removal of malignant growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals	24	22	$311.00	$94.26
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	11	$226.00	$84.19
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	23	21	$193.00	$86.09
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	21	20	$694.00	$365.14
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	14	$232.00	$110.01
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$299.00	$152.94
10040 Acne surgery	16	12	$97.00	$73.42
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	14	$1224.00	$644.31
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	13	$198.00	$79.58
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	13	$281.00	$152.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$181.00	$99.12
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$606.00	$320.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,254	237	$15.00	$4.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	607	345	$79.08	$38.37
99213 Established patient office or other outpatient visit, typically 15 minutes	488	324	$126.11	$64.26
17000 Destruction of skin growth	483	299	$135.00	$49.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	168	58	$2.50	$1.78
11900 Injection into skin growth, 1-7 growths	139	61	$96.00	$41.74
17110 Destruction of up to 14 skin growths	137	127	$182.00	$91.03
17004 Destruction of precancer skin growth, 15 or more growths	122	74	$275.00	$125.07
99202 New patient office or other outpatient visit, typically 20 minutes	105	105	$127.52	$65.93
11100 Biopsy of single growth of skin and/or tissue	93	79	$169.57	$82.37
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	46	40	$326.00	$168.53
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	46	30	$184.00	$79.87
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	44	28	$185.00	$64.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$180.00	$94.39
99201 New patient office or other outpatient visit, typically 10 minutes	34	34	$78.00	$38.96
11200 Removal of skin tag, 1-15 skin tags	33	31	$147.00	$55.56
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	33	29	$181.00	$82.54
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	25	19	$164.00	$66.17
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	20	19	$193.00	$91.78
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	20	17	$905.00	$359.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$181.00	$95.18
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	17	16	$320.00	$138.61
11101 Biopsy of each additional growth of skin and/or tissue	17	13	$61.00	$28.32
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$281.00	$132.01
10060 Simple or single drainage of skin abscess	15	15	$193.00	$104.91
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$429.00	$178.01
11646 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm	12	11	$902.00	$425.08
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	12	12	$623.00	$212.78
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$198.00	$102.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,958	289	$15.00	$5.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	636	394	$79.00	$40.06
17000 Destruction of skin growth	603	362	$135.00	$50.92
99213 Established patient office or other outpatient visit, typically 15 minutes	405	300	$126.00	$67.83
17110 Destruction of up to 14 skin growths	189	163	$182.00	$90.85
99202 New patient office or other outpatient visit, typically 20 minutes	169	169	$128.00	$69.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	153	49	$2.50	$1.78
17004 Destruction of precancer skin growth, 15 or more growths	148	95	$275.00	$137.59
11900 Injection into skin growth, 1-7 growths	127	48	$96.00	$48.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	70	$181.00	$99.72
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	56	51	$184.00	$93.36
11100 Biopsy of single growth of skin and/or tissue	52	50	$175.13	$86.40
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	46	42	$905.00	$402.29
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	42	39	$181.00	$87.21
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	41	36	$310.10	$174.50
11200 Removal of skin tag, 1-15 skin tags	38	34	$147.00	$59.84
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	37	29	$193.00	$97.16
10060 Simple or single drainage of skin abscess	37	34	$193.00	$102.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$180.00	$99.53
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	34	30	$185.00	$68.64
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	32	28	$285.00	$150.03
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	23	$299.00	$136.71
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	25	22	$198.00	$85.73
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	23	$429.00	$143.84
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	22	20	$226.00	$126.88
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	18	17	$164.00	$69.14
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	17	$694.00	$355.76
11101 Biopsy of each additional growth of skin and/or tissue	16	11	$61.00	$29.96
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$78.00	$40.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$392.00	$121.49
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	12	$1049.14	$620.45
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$256.00	$135.75
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$281.00	$152.94

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NE 11264

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.

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Eli Chesen , MD

Psychiatry & Neurology - Forensic Psychiatry

NPI 1013090695

Doctor of Medicine (M.D.)

Kim Etherton , LMHP, LPC

Counselor - Mental Health

NPI 1033234802

LMHP, Licensed Professional Counselor

Debra Hicks , LCSW

Counselor - Mental Health

NPI 1063596229

Licensed Clinical Social Worker

Laurie Patton , MS LIMHP LPC

Counselor - Mental Health

NPI 1083754956

MSLIMHPLPC

Mary Lautenschlager , MA

Counselor - Mental Health

NPI 1083867485

Master of Arts

Kenneth Mausbach , MS

Social Worker - Clinical

NPI 1124271523

Master of Science

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

✅

NPI Profile Active November 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2012

Registered at 1919 S 40TH ST, SUITE 330, LINCOLN, NE 685065243 (Tel: 4024846222)

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Updated Business Mailing Address November 27, 2012

Registered at 1919 S 40TH ST, SUITE 330, LINCOLN, NE 685065243 (Tel: 4024846222)

👤

Provider Name / Credentials Updated November 27, 2012

Recorded as ELLIOTT RUSTAD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2012

Dermatology (License #11264 in NE)

🟢

Initial NPI Registration & Enumeration October 03, 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: 1306931621

Entity Type:

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

Enumeration Date: October 03, 2006

Last Update: November 27, 2012

Deactivation Date: April 24, 2025

Update or Correct Profile

Mailing Address

1919 S 40th St, Suite 330

Lincoln, NE 685065243

Phone: 4024846222

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.