RUSSELL D PETERSON (D.O.) – Family Medicine Physician, NPI 1144322504
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
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Provider Addresses for RUSSELL D PETERSON (D.O.)
PO BOX 625
ROANOKE, AL 362740625
Phone: (334) 863-2141
Fax: (334) 863-8733
Type: Mailing
431, Lafayette Highway, Roanoke, Randolph County, Alabama, 36274, United States
ROANOKE, AL 36274
Phone: (334) 863-2141
Fax: (334) 863-8733
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $207.
Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Novo Nordisk Inc ($107).
Total Amount
$207
General + Research + Ownership
Payments
8
Total payment records
General Amount
$207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100809000361 | I | Family Practice | AL | TBD |
| I20250304001820 | I | Family Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 243 | 88 | $0 |
| 83036 | Hemoglobin a1c level | 111 | 66 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 58 | 49 | $0 |
| 81003 | Automated urinalysis test | 21 | 19 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 20 | 19 | $0 |
Insurance plans in this area (ZIP 36274)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AL | 20610 | Aspiration and/or injection of large joint or joint capsule | 19 | 12 |
| FAMILY MEDICINE | AL | 82270 | Stool analysis for blood to screen for colon tumors | 76 | 76 |
| FAMILY MEDICINE | AL | 83036 | Hemoglobin A1C level | 342 | 188 |
| FAMILY MEDICINE | AL | 93922 | Ultrasound study of arteries of both arms and legs | 188 | 166 |
| FAMILY MEDICINE | AL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 36 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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