Alex John Rugino, D. O., PA
Alex John Rugino is a Neurological Surgery specialist based in Billings, MT with over 10 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Alex John Rugino, D. O., PA specializes in neurological surgery, serving patients in Billings, MT in group practice. He graduated from Lake Erie College of Osteopathic Medicine, Erie in 2016 and has 10+ years of clinical experience. Among his Medicare patients, common conditions include hypertension, high cholesterol, and arthritis (per CMS data).
Recent · 59dNPPES updated 2026-03-25 · verify NPI on CMS · Verify license at Montana Board of Medical Examiners
Contact & Location
Practice Location
1041 N 29th St, Billings, MT 59101-0731
How Does This Doctor Compare?
MIPS Score
202348.98/100
Montana avg: 84.7 · US avg: 83.6
⚠ Lower than most doctors nationally(-34.6 pts)
How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Medicare Patients
43
Unique beneficiaries
Boutique practicePercentile rankings compared against 214 reporting peers in Montana.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+26%) — a focus area for this doctor
Excessive worry or fear that interferes with daily life
US avg: 34.1%↑ More patients than average (+17%) — a focus area for this doctor
Conditions affecting emotional state, including depression and bipolar disorder
Gradual loss of kidney function over time, often linked to diabetes or hypertension
US avg: 29.6%↑ More patients than average (+10%) — a focus area for this doctor
A mood disorder causing persistent sadness and loss of interest in activities
US avg: 31.8%↑ More patients than average (+8%) — a focus area for this doctor
The heart cannot pump blood efficiently enough to meet the body's needs
US avg: 22.5%↑ More patients than average (+15%) — a focus area for this doctor
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$411 received from industry
10 transactions reported in 2024 ·Low tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Alex John Rugino's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 2016
Lake Erie College of Osteopathic Medicine
Board certified · Mar 24, 2026
Self-reported via NPPES
10 years in practice
Established
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Taxonomy: 207T00000X
Education & Training
Lake Erie College of Osteopathic Medicine, Erie (Class of 2016)
Virtual Neurological Surgery Care With Alex John Rugino
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Alex John Rugino for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Billings required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Alex John Rugino
NPI records show Dr. Rugino as active with telehealth listed in Billings, MT. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (406) 237-5577.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Contact Alex John Rugino
Practice Location
1041 N 29th St, Billings, MT 59101-0731
Mailing Address
1041 N 29th St, Billings, MT 59101-0731
This is a provider directory. Contact the office directly to schedule appointments.
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