MR. RUSSELL SMITH (PA-C) – Physician Assistant, NPI 1023557402
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. RUSSELL SMITH (PA-C)
425 W. COLONIAL DR STE 303
PMB 451
ORLANDO, FL 32804
Phone: (407) 476-6040
Fax: (407) 550-7170
Type: Location
Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States
ORLANDO, FL 328031248
Phone: (407) 303-2528
Fax: (407) 303-2760
Type: Mailing
110 S WOODLAND ST
WINTER GARDEN, FL 347873546
Phone: (407) 905-8827
Fax: (407) 905-8998
Type: Mailing
13275 W COLONIAL DR
WINTER GARDEN, FL 347873984
Phone: (407) 905-8827
Fax: (407) 654-4079
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Acera Surgical, Inc. ($73).
Total Amount
$98
General + Research + Ownership
Payments
2
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acera Surgical, Inc. | $73 |
| AstraZeneca Pharmaceuticals LP | $25 |
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: 2018-08-02
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 |
|---|---|---|---|---|
| I20180802002768 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 48 | 34 | $0 |
Insurance plans in this area (ZIP 32804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL |
Reviews
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