DAVID JULIUS RUSSELL (D.O.) – Obstetrics & Gynecology Physician, NPI 1659635134
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for DAVID JULIUS RUSSELL (D.O.)
PO BOX 1090
LODI, CA 952411090
Phone: (209) 334-1800
Type: Mailing
1617 N CALIFORNIA ST
STE. 2F
STOCKTON, CA 952046117
Phone: (209) 466-8546
Fax: (209) 466-3335
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $2,074.
Total Amount is formed as General ($2,074) + Research ($0) + Ownership ($0) = $2,074.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Organon LLC ($1,455).
Total Amount
$2,074
General + Research + Ownership
Payments
31
Total payment records
General Amount
$2,074
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $1,455 |
| Astellas Pharma US Inc | $240 |
| Sage Therapeutics, Inc. | $130 |
| PFIZER INC. | $119 |
| Bayer Healthcare Pharmaceuticals Inc. | $35 |
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: 2025-10-10
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 |
|---|---|---|---|---|
| I20160805001313 | I | Obstetrics/Gynecology | CA | TBD |
| I20251010000210 | I | Obstetrics/Gynecology | SC | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 17 | 17 | $0 |
Insurance plans in this area (ZIP 95241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA |
Reviews
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