DR. LARISA VIKTOROVNA RUSSELL (M.D.) – Family Medicine Physician, NPI 1104812494

DR. LARISA VIKTOROVNA RUSSELL (M.D.) is a healthcare provider. based in Cullman, Alabama. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 057050 (GA). The NPI Number for DR. LARISA VIKTOROVNA RUSSELL (M.D.) is 1104812494

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARISA VIKTOROVNA RUSSELL (M.D.)
NPI
1104812494
Phone
(256) 736-2856
Address
1406 WALL ST
Enumeration Date
22 September 2005
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4702083945
Graduation Year
2007 (19 years ago)
PAC ID
5698707461
Professional Enrollment ID
I20250605002673
Address ID
GA305014472GA808XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

Provider Addresses for DR. LARISA VIKTOROVNA RUSSELL (M.D.)

  • 1406, Wall Street, Cullman, Cullman County, Alabama, 35055, United States

    CULLMAN, AL 350556011

    Phone: (256) 736-2856

    Type: Mailing

  • 1406 Wall St

    Cullman, AL 350556011

    Phone: (256) 736-2856

    Type: Location

  • United States Highway 280, Cahaba Commons, Birmingham, Jefferson County, Alabama, 35243, United States

    BIRMINGHAM, AL 352425028

    Phone: (205) 408-1231

    Fax: (205) 408-1229

    Type: Location

  • 4600 HIGHWAY 280 STE 100

    BIRMINGHAM, AL 352425185

    Phone: (205) 408-1231

    Fax: (205) 408-1229

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $584.

Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($164).

Total Amount

$584

General + Research + Ownership

Payments

28

Total payment records

General Amount

$584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050926000244IEmergency MedicineALTBD
I20250605002673IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month25145$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count14392$0
80053Blood test, comprehensive group of blood chemicals13584$0
84100Phosphate level13584$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month12732$0
View full utilization report →

Insurance plans in this area (ZIP 35055)

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Reviews

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Frequently asked questions

Does DR. LARISA VIKTOROVNA RUSSELL (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LARISA VIKTOROVNA RUSSELL (M.D.) uses 1104812494.
Is DR. LARISA VIKTOROVNA RUSSELL (M.D.) listed as active for patients and plans?
The listing shows DR. LARISA VIKTOROVNA RUSSELL (M.D.) as active in the NPI system.
What is DR. LARISA VIKTOROVNA RUSSELL (M.D.)'s specialty?
The listing groups DR. LARISA VIKTOROVNA RUSSELL (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. LARISA VIKTOROVNA RUSSELL (M.D.) list a practice location?
Patients near Cullman, Alabama may find DR. LARISA VIKTOROVNA RUSSELL (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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