RUSSELL STAGGS (D.O.) – Emergency Medicine Physician, NPI 1174978415

RUSSELL STAGGS (D.O.) is a healthcare provider. based in Spanish fort, Alabama. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS17047 (FL). The NPI Number for RUSSELL STAGGS (D.O.) is 1174978415

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL STAGGS (D.O.)
NPI
1174978415
Phone
Not provided
Address
12475 LONE EAGLE DR
Enumeration Date
24 April 2016
Last Update Date
29 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504344011
Graduation Year
2016 (10 years ago)
PAC ID
5698067494
Group Practice PAC ID
3173582624
Professional Enrollment ID
I20200730002894
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for RUSSELL STAGGS (D.O.)

  • 12475 LONE EAGLE DR

    SPANISH FORT, AL 365275951

    Phone:

    Type: Mailing

  • 750 MORPHY AVE

    FAIRHOPE, AL 365321812

    Phone: (251) 928-2375

    Type: Location

  • 1000 W Moreno St

    Pensacola, FL 325012316

    Phone: (870) 612-3775

    Type: Location

  • Copperfield Drive East, Mobile County, Alabama, 36695, United States

    MOBILE, AL 366089413

    Phone:

    Type: Mailing

  • Baptist Hospital, 1000, West Moreno Street, Pensacola, Escambia County, Florida, 32501, United States

    PENSACOLA, FL 325012316

    Phone: (870) 612-3775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($47).

Total Amount

$60

General + Research + Ownership

Payments

4

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2021-02-15

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
I20200730002894IEmergency MedicineFLTBD
I20210215001365IEmergency MedicineALTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only296280$0
99285Emergency department visit with high level of medical decision making292282$0
99291Critical care, first 30-74 minutes7676$0
99284Emergency department visit with moderate level of medical decision making5756$0
View full utilization report →

Insurance plans in this area (ZIP 36527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173582624View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineNC
Emergency MedicineMS
-FL
Emergency MedicineIL
Emergency MedicineNY
Emergency MedicineGA
Emergency MedicineAL
Nurse PractitionerFL
-GA

Reviews

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Frequently asked questions

How do I look up RUSSELL STAGGS (D.O.) by NPI?
Use NPI 1174978415 when you need to reference RUSSELL STAGGS (D.O.) in forms, claims, or directories.
Is RUSSELL STAGGS (D.O.) currently active in the NPI registry?
CMS-published data lists RUSSELL STAGGS (D.O.) as an active registrant.
Does RUSSELL STAGGS (D.O.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for RUSSELL STAGGS (D.O.). Clinical services aligned with this taxonomy classification.
Does RUSSELL STAGGS (D.O.) practice in Alabama?
You will see Spanish Fort, Alabama on file for RUSSELL STAGGS (D.O.) alongside any extra practice locations.
Is RUSSELL STAGGS (D.O.) a real provider?
This page reflects official NPPES data for NPI 1174978415. Always confirm identity and privileges with the practice and licensing boards.

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