Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Ruston Hess, DO

Individual provider General Practice Physician · NPI 1205185139

Dr. Ruston Hess, DO practises Ophthalmology in Ormond Beach, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2011, 15 years ago. Practices with Tomoka Eye Associates PA, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
15
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
CA, FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

345 Clyde Morris Blvd Ste 330
Ormond Beach, FL 32174-3114
Phone: (386) 506-8389
Fax: (386) 206-1310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 21 Hospital Dr Ste 160, Palm Coast, FL 32164-2454 — (386) 586-3711
  • 790 Dunlawton Ave Ste A, Port Orange, FL 32127-4222 — (386) 767-0053

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence OS18868 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 12400 (CA)

Record details

NPI number1205185139
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 6, 2012
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2011 (15 years in practice)
Group practice Tomoka Eye Associates Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Cataract surgery 396 times · 93rd percentile

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients2,554
Services billed 5,352 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $234 12 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Tomoka Eye Associates PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Ormond Beach