Alex John Rugino, D. O., PA
NPI 1730458316ActiveIndividual· Neurological Surgery· Billings, MT
Neurological Surgery (D. O., PA) in Billings, Montana, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2016). 167 Medicare patients in 2024, $71,083 paid; all of their 99 Part D prescriptions were generic. Globus Medical, Inc. was the largest of 5 companies reporting payments in 2025, $1,754 in all, mostly food and beverage.
Overview
| NPI | 1730458316 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D. O., PA |
| Sole proprietor | No |
| NPI issued | Dec 28, 2011 |
| Last updated in NPPES | Mar 25, 2026 |
| Certified by provider | Mar 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | 1730458316 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurosurgery (IL); Practitioner - Neurosurgery (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 167 |
|---|---|
| Services billed | 355 across 59 procedure codes |
| Paid by Medicare | $71,083 |
Part D prescriptions in 2024
| Prescriptions (claims) | 99 · 101 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $587.52 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Neurosurgery |
| Telehealth | Offers telehealth |
Medical group
- Scl Health MontanaBillings, MT · 38 clinicians
Hospital affiliations
- Beartooth Billings ClinicRed Lodge, MT
- Intermountain Health St Vincent Regional HospitalBillings, MT
- Sidney Health CenterSidney, MT
Industry payments (Open Payments)
- 2025$1,754 · 17 payments from 5 companies
- 2024$411.40 · 10 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Globus Medical, Inc. | $1,044 | 7 |
| Medtronic, Inc. | $482.96 | 7 |
| Stryker Corporation | $89.84 | 1 |
| Depuy Synthes Sales Inc. | $84.83 | 1 |
| Orthofix Medical, Inc. | $51.86 | 1 |
What the 2025 payments were for
- Food and Beverage$1,064 · 14 payments
- Travel and Lodging$689.50 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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