Highlights
Age Groups Seen
- Adult 19-64
- Older Adult >65
Gender
MaleHospital Affiliation
- St. James Hospital
- St. Vincent Regional Hospital
About Alex John Rugino
About The Provider
Dr. Alex Rugino is a board-certified neurosurgeon specializing in the diagnosis and surgical treatment of conditions affecting the brain, spine, and nervous system. Based in Billings, Montana, Dr. Rugino is committed to investigating a patient’s source of pain and surgically correcting them to improve their quality of life.
He treats a wide range of neurological conditions, including spinal disorders, brain tumors, traumatic injuries, and degenerative spine diseases. With a philosophy rooted in surgical excellence and individualized care, Dr. Rugino collaborates closely with each patient to develop treatment plans prioritizing safety, function, and quality of life.
“I treat every patient like family; my goal is to improve people’s lives.”
Dr. Rugino values open communication and takes the time to ensure patients and their families understand their diagnosis, options, and recovery process. He proudly serves the Billings community and surrounding region with leading-edge neurosurgical care.
Outside the operating room, Dr. Rugino enjoys staying active and fit and spending time with his two children.
Locations
- St. Vincent Neurosurgery
- 1041 North 29th Street, Billings, MT 59101
- Get Directions
- phone: 406-237-5577
- fax: 406-237-5575
Expertise
Education
- Residency: Doctors Hospital - Ohio Health, Neurosurgery, 2023
- Medical School: Lake Erie College of Osteopathic Medicine, 2016
Insurance
- BlueCross Blue Shield Montana
- Cigna/Allegiance - Montana
- EBMS - Montana
- First Choice Health Big Sky Region - Montana
- First Choice of Midwest - Montana
- Humana Medicare Advantage - Montana
- Interwest - Montana
- Logistics - Montana
- Majoris Health Systems - Montana
- Medicaid Montana
- Medicaid Wyoming
- Medicare Montana
- Medicare Railroad
- Montana Health Co-op
- Moore Amish Chruch Group - Montana
- OWCP/Department of Labor
- PacificSource Health Plans - Montana
- Three Rivers Provider Network - Montana
- Tricare HealthNet Federal Services - Montana
- TriWest Montana
- United Healthcare Montana
- United Optum Behavioral Health
Ratings & Reviews
4.6 out of 5
80 ratings, 22 reviewsThe Patient Satisfaction Rating is an average of all responses to the care provider related questions shown below from our survey. Patients that are treated in outpatient or hospital environments may receive different surveys, and the volume of responses will vary by question.
- 5 out of 5 starsReviewed on 1/30/2026
He was very informative as to what he thought should be done. Explained it well.
- 5 out of 5 starsReviewed on 1/26/2026
spent time needed to explain options
- 5 out of 5 starsReviewed on 1/17/2026
Dr. Rugino always explained things in a way that was easy to understand.
- 5 out of 5 starsReviewed on 1/1/2026
He is a darn good doctor. Explained things to me very well. I agreed with him on rehab...Took his time and listened to me. Great Doctor
- 5 out of 5 starsReviewed on 12/20/2025
Easy to talk to
- 5 out of 5 starsReviewed on 12/17/2025
Dr Rugino answered our questions with answers that made sense and gave use useful information for any future situations as we presented.
- 5 out of 5 starsReviewed on 12/3/2025
Excellent care
- 5 out of 5 starsReviewed on 11/25/2025
He was great explaining everything that was happening to my back and hips
- 5 out of 5 starsReviewed on 11/17/2025
he explained the future surgery and the post-surgery expectations. He made sure I had a clear understanding of the process. Thank You!
- 5 out of 5 starsReviewed on 11/14/2025
Dr Rugino was wonderful. He did an awesome job
- 5 out of 5 starsReviewed on 11/11/2025
Dr. Rugino explained everything in terms that I could understand. He was very upfront and pulled no punches, I like a doctor who tells you like it is and does not sugar coat anything.
- 3 out of 5 starsReviewed on 11/7/2025
I'm good with him
- 5 out of 5 starsReviewed on 11/3/2025
I appreciate his attention, given how busy he is.
- 1 out of 5 starsReviewed on 10/25/2025
He was very degrading .....
- 5 out of 5 starsReviewed on 10/8/2025
Caring professional
- 5 out of 5 starsReviewed on 9/24/2025
Dr. Rugino is on top of it and extremely knowledgeable. Very happy to have found this doctor.
- 5 out of 5 starsReviewed on 8/25/2025
He explains things so I can understand them.
- 4 out of 5 starsReviewed on 8/17/2025
I'm satisfied thank you .
- 5 out of 5 starsReviewed on 7/12/2025
The pain and spasms in my lower bottom was totally gone after surgery
- 5 out of 5 starsReviewed on 6/18/2025
He informed me surgery was not necessary. Suggested physical therapy. Much better than surgery. Thank you
- 5 out of 5 starsReviewed on 5/3/2025
He was kind, didn't seem bothered by all of my questions and was thorough. He consulted with a fellow doctor before coming to his conclusion. Very well mannered and easy going.
- 5 out of 5 starsReviewed on 4/22/2025
explained what is known about the spine and sacrillac