MARK STEVEN RUSSO (MD, PHD) – Nephrology Physician, NPI 1316934326

MARK STEVEN RUSSO (MD, PHD) is a healthcare provider. based in Naples, Florida. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD, PHD. They hold a License No. 83306 (FL). The NPI Number for MARK STEVEN RUSSO (MD, PHD) is 1316934326

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MARK STEVEN RUSSO (MD, PHD)
NPI
1316934326
Phone
(239) 513-1002
Address
878 109TH AVE N
Enumeration Date
4 October 2005
Last Update Date
11 September 2013

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
2395131002
Graduation Year
1995 (31 years ago)
PAC ID
5698755106
Group Practice PAC ID
6507842010
Professional Enrollment ID
I20060822000018
Address ID
FL341101436NA2700XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

796 NEPHROLOGY in FL

Provider Addresses for MARK STEVEN RUSSO (MD, PHD)

  • 878 109TH AVE N

    NAPLES, FL 341081821

    Phone: (239) 513-1002

    Fax: (239) 513-1915

    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 122 Open Payments records for all available years, with a total value of $5,554.

Total Amount is formed as General ($5,554) + Research ($0) + Ownership ($0) = $5,554.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Baxter Healthcare ($2,264).

Total Amount

$5,554

General + Research + Ownership

Payments

122

Total payment records

General Amount

$5,554

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2006-08-22

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
I20060822000018INephrologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes972725$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)30992$0
90966Home dialysis services per month (20 years or older)20639$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)17372$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes16944$0
View full utilization report →

Insurance plans in this area (ZIP 34108)

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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: 6507842010View full group profile
NameSpecialtyState
Nephrology, Internal MedicineFL
Physician AssistantMI
Nephrology, Internal MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does MARK STEVEN RUSSO (MD, PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARK STEVEN RUSSO (MD, PHD) uses 1316934326.
Is MARK STEVEN RUSSO (MD, PHD) still practicing?
MARK STEVEN RUSSO (MD, PHD) is currently listed as active in the public NPI registry.
What is MARK STEVEN RUSSO (MD, PHD)'s specialty?
The listing groups MARK STEVEN RUSSO (MD, PHD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARK STEVEN RUSSO (MD, PHD)?
MARK STEVEN RUSSO (MD, PHD)'s geographic hint is Naples, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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