RUSSELL BURTON SMITH (MD) – Otolaryngology Physician, NPI 1134112261
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
732 OTOLARYNGOLOGY in FL
Provider Addresses for RUSSELL BURTON SMITH (MD)
1301 Palm Ave
Jacksonville, FL 322078432
Phone: (904) 202-7300
Fax: (904) 202-7433
Type: Location
3901 UNIVERSITY BLVD S STE 112
JACKSONVILLE, FL 322164312
Phone: (904) 486-5466
Type: Mailing
PO BOX 45278
JACKSONVILLE, FL 322325278
Phone: (904) 202-2092
Fax: (904) 393-7603
Type: Mailing
1301, Palm Avenue, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322078432
Phone: (904) 202-7300
Fax: (904) 202-7433
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,140.
Total Amount is formed as General ($1,140) + Research ($0) + Ownership ($0) = $1,140.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Olympus America Inc. ($313).
Total Amount
$1,140
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Olympus America Inc. | $313 |
| KARL STORZ Endoscopy-America | $223 |
| Acera Surgical, Inc. | $150 |
| BIOTISSUE HOLDINGS INC. | $150 |
| Intuitive Surgical, Inc. | $129 |
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: 2017-12-08
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 |
|---|---|---|---|---|
| I20171208002133 | I | Otolaryngology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32207)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | FL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| - | FL | |
| General Surgery | OH | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Infectious Disease, Internal Medicine | FL | |
| - | FL |
Reviews
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