DR. ANTHONY OTIS RUSSELL (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1467454322

DR. ANTHONY OTIS RUSSELL (MD) is a healthcare provider. based in Tallahassee, Florida. specializing in ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. ME127853 (FL). The NPI Number for DR. ANTHONY OTIS RUSSELL (MD) is 1467454322

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY OTIS RUSSELL (MD)
NPI
1467454322
Phone
(850) 431-3276
Address
1633 PHYSICIANS DR
Enumeration Date
11 August 2005
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8504313276
Graduation Year
1987 (39 years ago)
PAC ID
9133285950
Group Practice PAC ID
6103724778
Professional Enrollment ID
I20180611000068
Address ID
FL323084620TA1633XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

114 ADDICTION MEDICINE in FL

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Provider Addresses for DR. ANTHONY OTIS RUSSELL (MD)

  • 1633 PHYSICIANS DR

    TALLAHASSEE, FL 323084620

    Phone: (850) 431-3276

    Type: Mailing

  • 2727, Capital Medical Boulevard, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323084403

    Phone: (850) 431-3276

    Type: Mailing

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 $2,046.

Total Amount is formed as General ($2,046) + Research ($0) + Ownership ($0) = $2,046.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($488).

Total Amount

$2,046

General + Research + Ownership

Payments

122

Total payment records

General Amount

$2,046

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

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: 2018-06-11

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
I20180611000068IAddiction MedicineFLTBD

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 minutes676113$0
80305Testing for presence of drug, read by direct observation1511$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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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: 6103724778View full group profile
NameSpecialtyState
R H E U M A T O L O G YKY
Cardiovascular Disease (Cardiology), Internal MedicineFL
Physician AssistantFL
E N D O C R I N O L O G YMN
-FL
Internal MedicineFL
-IA
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is there an official ID for DR. ANTHONY OTIS RUSSELL (MD) in U.S. healthcare records?
The official identifier for DR. ANTHONY OTIS RUSSELL (MD) is NPI 1467454322.
Would DR. ANTHONY OTIS RUSSELL (MD) appear as active to a payer?
You can treat DR. ANTHONY OTIS RUSSELL (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. ANTHONY OTIS RUSSELL (MD)'s focus?
For DR. ANTHONY OTIS RUSSELL (MD), the primary taxonomy reads as Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ANTHONY OTIS RUSSELL (MD)?
Directory geography for DR. ANTHONY OTIS RUSSELL (MD) centers on Tallahassee, Florida.
When was this NPI issued?
Enumeration for DR. ANTHONY OTIS RUSSELL (MD) is noted as August 11, 2005 where the registry provides it.

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