TROY MATTHEW RUSSELL (M.D.) – Family Medicine Physician, NPI 1649513615
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,661 FAMILY PRACTICE in CO
Provider Addresses for TROY MATTHEW RUSSELL (M.D.)
100 FILLMORE ST FL 5
DENVER, CO 802064916
Phone: (617) 505-1520
Fax: (617) 928-8401
Type: Location
109 State St.
5th FL
Boston, MA 021092906
Phone: (617) 505-1520
Fax: (617) 928-8401
Type: Location
269 UNION ST
LYNN, MA 019011314
Phone: (781) 581-3900
Type: Mailing
109 STATE ST.
5TH FL
BOSTON, MA 021092906
Phone: (617) 505-1520
Fax: (617) 928-8401
Type: Mailing
9444 E 108TH AVE APT 203
COMMERCE CITY, CO 806407578
Phone: (202) 830-6096
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20211030000041 | I | Family Practice | CO | TBD |
| I20220511000716 | I | Family Practice | UT | TBD |
| I20250331003360 | I | Family Practice | NY | TBD |
| I20250627002081 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80206)
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