DEIDRE RUSSELL (M.D.) – Specialist, NPI 1467565341
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
587 OBSTETRICS/GYNECOLOGY in AL
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Provider Addresses for DEIDRE RUSSELL (M.D.)
Vaughan Memorial Drive, Sunset Mill Village, Selma, Dallas County, Alabama, 36701, United States
SELMA, AL 367016950
Phone: (334) 875-2134
Fax: (334) 875-4331
Type: Mailing
PO BOX 6730
CHANDLER, AZ 852466730
Phone: (480) 821-3600
Fax: (480) 857-2667
Type: Mailing
21300 N JOHN WAYNE PKWY STE 121
MARICOPA, AZ 851398978
Phone: (480) 821-3600
Fax: (480) 857-2667
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 $129.
Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: SHIELD THERAPEUTICS INC ($55).
Total Amount
$129
General + Research + Ownership
Payments
4
Total payment records
General Amount
$129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
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: 2014-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20140801000914 | I | Obstetrics/Gynecology | AZ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 36701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Certified Nurse Midwife (Cnm) | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Certified Nurse Midwife (Cnm) | NM |
Reviews
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