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Active NPI 1487435053 Individual Practitioner Male Practitioner

Nicholas Tyler Russenberger , MPAS

Physician Assistant • Buffalo, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Russenberger, MPAS is a certified Physician Assistant practicing in Buffalo, OK. With approximately 3 years of clinical experience since completing medical education in 2023, Nicholas Russenberger delivers high-quality medical care to the local community at 1003 US HIGHWAY 64.

Nicholas Russenberger is affiliated with Harper County Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1003 Us Highway 64

Buffalo, OK 738348912

Telephone 5807352555
Fax 5807352574
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Buffalo, OK

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs Matches City Avg
City Avg: 3.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Buffalo, OK (1911 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russenberger (3 Years) 3 Yrs
Buffalo Specialty Average (3.0 Years) 3.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
45 38 $276.89 $56.77
99284 Emergency department visit with moderate level of medical decision making
14 14 $413.57 $96.63

Medical Specialties & State Licenses

CMS Verified: 2023-10-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 5175

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

Harper County Community Hospital

1003 Us Hwy 64, Buffalo, OK 738348912

Phone: 5807352555

Harper County Community Hospital

610 N Hoy, Buffalo, OK 738340600

Phone: 5807352911

Practice Associates & Co-Workers

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

1 Associated Practitioners
Alysia Smith , PA-C

Physician Assistant - Medical

NPI 1023630738

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 October 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2023

Registered at 1003 US HIGHWAY 64, BUFFALO, OK 738348912 (Tel: 5807352555)

📍
Updated Business Mailing Address October 10, 2023

Registered at PO BOX 677, BUFFALO, OK 738340677 (Tel: 5012151468)

👤
Provider Name / Credentials Updated October 10, 2023

Recorded as NICHOLAS RUSSENBERGER, MPAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2023

Physician Assistant (License #5175 in OK)

🟢
Initial NPI Registration & Enumeration October 10, 2023

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: 1487435053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2023
Last Update: October 10, 2023
Sole Proprietor: No

Mailing Address

Po Box 677

Buffalo, OK 738340677

Phone: 5012151468

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.