DR. RUSSELL W NELLIGAN (MD) – Ophthalmology Physician, NPI 1255542767

DR. RUSSELL W NELLIGAN (MD) is a healthcare provider. based in St augustine, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. N5906 (TX). The NPI Number for DR. RUSSELL W NELLIGAN (MD) is 1255542767

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL W NELLIGAN (MD)
NPI
1255542767
Phone
(904) 829-2286
Address
1400 US HIGHWAY 1 S
Enumeration Date
25 May 2007
Last Update Date
2 May 2013

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9048292286
Graduation Year
2002 (24 years ago)
PAC ID
6103950829
Group Practice PAC ID
2668431040
Professional Enrollment ID
I20110718000185
Address ID
FL320844211ST1400XSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for DR. RUSSELL W NELLIGAN (MD)

  • 1400 US HIGHWAY 1 S

    ST AUGUSTINE, FL 320844211

    Phone: (904) 829-2286

    Fax: (904) 810-5687

    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 74 Open Payments records for all available years, with a total value of $1,782.

Total Amount is formed as General ($1,782) + Research ($0) + Ownership ($0) = $1,782.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: NEW WORLD MEDICAL,INC. ($670).

Total Amount

$1,782

General + Research + Ownership

Payments

74

Total payment records

General Amount

$1,782

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-07-18

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
I20110718000185IOphthalmologyFLTBD

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
92014Established patient complete exam of visual system1,4331,247$0
92012Established patient problem focused exam of visual system562395$0
92136Measurement of corneal curvature and depth of eye472294$0
66984Removal of cataract with insertion of prosthetic lens428249$0
92133Imaging of optic nerve309300$0
View full utilization report →

Insurance plans in this area (ZIP 32084)

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Provider's Procedures

DR. RUSSELL W NELLIGAN (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92083Measurement of field of vision during daylight conditions156153
OPHTHALMOLOGYFL92134Diagnostic imaging of retina6560

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: 2668431040View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
-FL
O P T O M E T R YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Where can patients find DR. RUSSELL W NELLIGAN (MD)'s NPI?
You can confirm DR. RUSSELL W NELLIGAN (MD) with NPI 1255542767; it appears in the national provider directory.
Is DR. RUSSELL W NELLIGAN (MD) currently active in the NPI registry?
CMS-published data lists DR. RUSSELL W NELLIGAN (MD) as an active registrant.
What does DR. RUSSELL W NELLIGAN (MD) treat or focus on?
Patients typically see DR. RUSSELL W NELLIGAN (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. RUSSELL W NELLIGAN (MD)?
The page summarizes St Augustine, Florida for DR. RUSSELL W NELLIGAN (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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