DR. KATHRYN JOY RUSSELL (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1184950313

DR. KATHRYN JOY RUSSELL (M.D.) is a healthcare provider. based in Naples, Florida. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials M.D.. They hold a License No. 115577 (FL). The NPI Number for DR. KATHRYN JOY RUSSELL (M.D.) is 1184950313

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN JOY RUSSELL (M.D.)
NPI
1184950313
Phone
(619) 543-6268
Address
2235 VENETIAN COURT SUITE 1
Enumeration Date
22 October 2009
Last Update Date
28 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
2395969337610
Graduation Year
2009 (17 years ago)
PAC ID
6406070648
Group Practice PAC ID
1658351101
Professional Enrollment ID
I20140610000972
Address ID
FL341098728NA2235XCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

145 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in FL

Provider Addresses for DR. KATHRYN JOY RUSSELL (M.D.)

  • 2235 VENETIAN COURT SUITE 1

    NAPLES, FL 34109

    Phone: (619) 543-6268

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,832.

Total Amount is formed as General ($1,832) + Research ($0) + Ownership ($0) = $1,832.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($291).

Total Amount

$1,832

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,832

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-06-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140610000972IMicrographic Dermatologic Surgery (Mds)FLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks800623$0
17003Destruction of precancer skin growth, 2-14 growths491106$0
99213Established patient office or other outpatient visit, 20-29 minutes314226$0
17000Destruction of precancer skin growth, 1 growth293223$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks280201$0
View full utilization report →

Insurance plans in this area (ZIP 34109)

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Provider's Procedures

DR. KATHRYN JOY RUSSELL (M.D.) performs procedures in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL17003Destruction of 2-14 skin growths2140405

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658351101View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantNC
D E R M A T O L O G YPR
P A T H O L O G YFL
D E R M A T O L O G YFL
Micrographic Dermatologic Surgery (Mds)NY
-FL
-FL
Otolaryngology, Plastic And Reconstructive SurgeryFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KATHRYN JOY RUSSELL (M.D.)'s NPI?
Yes. DR. KATHRYN JOY RUSSELL (M.D.) is listed with NPI 1184950313 in the public NPI dataset.
Can I rely on DR. KATHRYN JOY RUSSELL (M.D.) being an active provider?
As of the registry snapshot, DR. KATHRYN JOY RUSSELL (M.D.) is marked active.
What healthcare role does DR. KATHRYN JOY RUSSELL (M.D.) hold?
Scheduling teams often label DR. KATHRYN JOY RUSSELL (M.D.) under MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. KATHRYN JOY RUSSELL (M.D.) list a practice location?
Patients near Naples, Florida may find DR. KATHRYN JOY RUSSELL (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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