Active NPI 1710185186 Individual Practitioner Male Practitioner

Jay T Rust , PA

Physician Assistant • New London, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jay Rust, PA is a certified Physician Assistant practicing in New London, WI. With approximately 19 years of clinical experience since completing medical education in 2007, Jay Rust delivers high-quality medical care to the local community at 1405 MILL ST.

Jay Rust is affiliated with Kaukauna Clinic, S.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1405 Mill St

New London, WI 549612155

Telephone 9205312400

Fax 9205312463

Associated Practice Facility / Clinic

🏢 Thedacare Medical Center - New London, Inc. Facility NPI 1538127220

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in New London, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +5.6 yrs vs City Avg

City Avg: 13.4 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

6 Specialists

Practicing in New London, WI (3517 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rust (19 Years) 19 Yrs

New London Specialty Average (13.4 Years) 13.4 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
36415 Insertion of needle into vein for collection of blood sample	131	50	$30.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	46	$356.00	$102.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	50	29	$68.00	$7.61
80048 Blood test, basic group of blood chemicals (calcium, total)	47	26	$74.00	$8.29
80061 Blood test, lipids (cholesterol and triglycerides)	45	35	$121.00	$13.12
99213 Established patient office or other outpatient visit, typically 15 minutes	45	33	$250.00	$72.55
80053 Blood test, comprehensive group of blood chemicals	43	30	$97.00	$10.35
83036 Hemoglobin A1C level	32	20	$67.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$142.00	$103.51
G0009 Administration of pneumococcal vaccine	11	11	$78.00	$30.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$319.00	$288.74
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$40.00	$21.90
G0008 Administration of influenza virus vaccine	11	11	$78.00	$30.42

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	76	63	$355.94	$102.88
36415 Insertion of needle into vein for collection of blood sample	71	45	$27.87	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$241.12	$72.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	22	$66.00	$7.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$285.73	$103.54
80048 Blood test, basic group of blood chemicals (calcium, total)	23	18	$72.00	$8.29
80053 Blood test, comprehensive group of blood chemicals	18	17	$94.00	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	17	15	$117.00	$13.12
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$106.00	$11.48
84443 Blood test, thyroid stimulating hormone (TSH)	11	11	$113.00	$16.46
G0008 Administration of influenza virus vaccine	11	11	$76.25	$28.93

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	248	139	$361.85	$102.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$403.55	$106.14
99213 Established patient office or other outpatient visit, typically 15 minutes	55	47	$244.10	$72.52
G0008 Administration of influenza virus vaccine	50	48	$73.85	$27.97
90662 Influenza vaccine split virus, preservative free	45	43	$139.40	$68.39
36415 Insertion of needle into vein for collection of blood sample	40	36	$16.05	$2.97
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	24	24	$102.00	$37.35
0134A Fee covid-19 vac 14 res	23	23	$102.00	$37.08
G0009 Administration of pneumococcal vaccine	17	17	$73.85	$28.05
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	12	$60.45	$5.59
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$590.00	$278.49
71046 X-ray of chest, 2 views	11	11	$173.25	$22.07

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	235	137	$348.96	$105.07
0004A Fee covid-19 vac 1 res	99	99	$100.00	$38.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$389.52	$107.81
G0008 Administration of influenza virus vaccine	55	55	$71.60	$15.93
99213 Established patient office or other outpatient visit, typically 15 minutes	51	40	$235.24	$74.36
90662 Influenza vaccine split virus, preservative free	49	49	$135.09	$65.09
0064A Adm sarscov2 50mcg/0.25mlbst	31	31	$100.00	$38.16
36415 Insertion of needle into vein for collection of blood sample	30	26	$15.70	$3.00
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$58.50	$6.02
0013A Adm sarscov2 100mcg/0.5ml3rd	12	12	$100.00	$38.16

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	190	119	$334.58	$89.10
36415 Insertion of needle into vein for collection of blood sample	90	60	$13.71	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	69	63	$225.72	$61.30
G0008 Administration of influenza virus vaccine	64	63	$68.47	$16.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$373.14	$94.92
90662 Influenza vaccine split virus, preservative free	51	50	$128.84	$60.74
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	13	$52.95	$7.97
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$48.30	$19.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	313	111	$12.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	95	$307.76	$88.67
99213 Established patient office or other outpatient visit, typically 15 minutes	144	110	$207.06	$59.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$344.30	$94.33
G0008 Administration of influenza virus vaccine	43	41	$67.99	$15.55
90662 Influenza vaccine split virus, preservative free	37	36	$116.68	$53.20
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	24	24	$43.84	$7.95
71046 X-ray of chest, 2 views	22	21	$172.41	$19.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	325	102	$11.87	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	100	$295.00	$87.82
99213 Established patient office or other outpatient visit, typically 15 minutes	105	78	$199.00	$59.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$329.00	$95.10
G0008 Administration of influenza virus vaccine	47	44	$65.00	$19.63
90662 Influenza vaccine split virus, preservative free	45	42	$100.00	$51.83
71046 X-ray of chest, 2 views	17	14	$166.00	$18.47
80048 Blood test, basic group of blood chemicals (calcium, total)	15	14	$58.29	$10.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	396	124	$10.69	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	112	$286.00	$87.78
80048 Blood test, basic group of blood chemicals (calcium, total)	172	100	$58.41	$9.17
85610 Blood test, clotting time	168	23	$19.31	$5.28
80061 Blood test, lipids (cholesterol and triglycerides)	137	80	$73.97	$11.45
99213 Established patient office or other outpatient visit, typically 15 minutes	129	94	$193.00	$59.58
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	96	63	$52.25	$10.45
80076 Liver function blood test panel	83	62	$56.32	$7.83
83036 Hemoglobin A1C level	60	36	$53.63	$13.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$307.00	$94.22
84443 Blood test, thyroid stimulating hormone (TSH)	43	34	$92.84	$22.59
84460 Liver enzyme (sgpt), level	36	26	$29.27	$4.52
G0008 Administration of influenza virus vaccine	35	32	$63.00	$24.29
90662 Influenza vaccine split virus, preservative free	34	32	$86.00	$45.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	25	25	$101.61	$24.73
81001 Manual urinalysis test with examination using microscope, automated	24	19	$16.76	$4.26
71020 X-ray of chest, 2 views, front and side	22	19	$160.00	$16.05
85652 Red blood cell sedimentation rate, to detect inflammation, automated	21	11	$18.68	$3.63
86140 Measurement C-reactive protein for detection of infection or inflammation	21	11	$35.73	$6.96
82570 Creatinine level to test for kidney function or muscle injury	19	14	$28.58	$6.96
87086 Bacterial colony count, urine	18	15	$55.76	$10.85
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$81.00	$13.73
83880 Natriuretic peptide (heart and blood vessel protein) level	15	12	$187.52	$45.63
82043 Urine microalbumin (protein) level	14	13	$31.95	$7.77
82947 Blood glucose (sugar) level	12	11	$16.62	$3.03
87088 Bacterial urine culture	12	12	$44.74	$10.88
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	11	11	$78.84	$19.18

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2162-023

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

Kaukauna Clinic, S.c.

305 E 12th St, Kaukauna, WI 541302865

Phone: 9207664656

Kaukauna Clinic, S.c.

305 E 12th St, Kaukauna, WI 541302865

Practice Associates & Co-Workers

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

30 Associated Practitioners

Natalie Gauthier , APNP

Nurse Practitioner

NPI 1063563211

Advanced Practice Nurse Prescriber

James Doolin , RPH

Pharmacist

NPI 1104424563

Registered Pharmacist

Heather Lutz , APNP

Nurse Practitioner - Family

NPI 1114585270

Advanced Practice Nurse Prescriber

Dr. Donn Fuhrmann , MD

Family Medicine

NPI 1134149263

Doctor of Medicine (M.D.)

Jennifer Schaffer , APNP

Nurse Practitioner

NPI 1164850780

Advanced Practice Nurse Prescriber

Dr. Suzanne Havican , MD

Family Medicine

NPI 1235368309

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1405 MILL ST, NEW LONDON, WI 549612155 (Tel: 9205312400)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963200)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAY RUST, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #2162-023 in WI)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1710185186

Entity Type:

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

Enumeration Date: July 06, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 8003

Appleton, WI 549128003

Phone: 9209963200

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.