DR. WILLIAM M. RUSSELL (MD) – Diagnostic Radiology Physician, NPI 1104892454
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. WILLIAM M. RUSSELL (MD)
Atascadero Post Office, Traffic Way, Atascadero, San Luis Obispo County, California, 93422, United States
ATASCADERO, CA 934232920
Phone: (805) 461-7080
Fax: (805) 464-0243
Type: Mailing
1310, Las Tablas Road, Templeton, San Luis Obispo County, California, 93465, United States
SUITE 103
TEMPLETON, CA 934659737
Phone: (805) 461-7080
Fax: (805) 464-0243
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $18 |
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: 2003-12-11
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 |
|---|---|---|---|---|
| I20031211001177 | I | Diagnostic Radiology | CA | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 2,075 | 25 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,550 | 19 | $0 |
| 77067 | Screening mammography | 105 | 105 | $0 |
| 77063 | Screening 3d breast mammography | 105 | 105 | $0 |
| 71046 | X-ray of chest, 2 views | 51 | 51 | $0 |
Insurance plans in this area (ZIP 93423)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CA | 71250 | CT scan chest | 42 | 41 |
| DIAGNOSTIC RADIOLOGY | CA | 73562 | X-ray of knee, 3 views | 16 | 15 |
| DIAGNOSTIC RADIOLOGY | CA | 73630 | X-ray of foot, minimum of 3 views | 32 | 31 |
| DIAGNOSTIC RADIOLOGY | CA | 74177 | CT scan of abdomen and pelvis with contrast | 19 | 18 |
| DIAGNOSTIC RADIOLOGY | CA | 76830 | Ultrasound pelvis through vagina | 18 | 18 |
| DIAGNOSTIC RADIOLOGY | CA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | FL | |
| - | CA | |
| Nurse Practitioner | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | HI | |
| - | CA | |
| Interventional Radiology, Diagnostic Radiology | CA |
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