DR. MARK RUSSELL (M.D.) – Interventional Cardiology Physician, NPI 1639137540
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
313 CARDIAC ELECTROPHYSIOLOGY in CA
Provider Addresses for DR. MARK RUSSELL (M.D.)
600 E Williams St
Barstow, CA 923112943
Phone: (760) 256-0328
Fax: (760) 256-5635
Type: Location
Hesperia Road, Greentree East, Victorville, San Bernardino County, California, 92393, United States
VICTORVILLE, CA 923958303
Phone: (760) 241-3547
Fax: (760) 241-3562
Type: Location
12223 HIGHLAND AVE # 106-536
RANCHO CUCAMONGA, CA 917392574
Phone: (760) 241-3547
Fax: (760) 241-3562
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 108 Open Payments records for all available years, with a total value of $2,128.
Total Amount is formed as General ($2,128) + Research ($0) + Ownership ($0) = $2,128.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($335).
Total Amount
$2,128
General + Research + Ownership
Payments
108
Total payment records
General Amount
$2,128
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
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: 2020-01-15
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200115003098 | I | Cardiac Electrophysiology | 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 |
|---|---|---|---|---|
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 1,301 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 773 | 323 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 428 | 153 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 427 | 400 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 424 | 106 | $0 |
Insurance plans in this area (ZIP 92311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal Medicine | CA | |
| Physician Assistant | CA |
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