DR. IAN RUSSINOFF (MD) – Emergency Medicine Physician, NPI 1477548295

DR. IAN RUSSINOFF (MD) is a healthcare provider. based in Coral springs, Florida. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME 91596 (FL). The NPI Number for DR. IAN RUSSINOFF (MD) is 1477548295

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. IAN RUSSINOFF (MD)
NPI
1477548295
Phone
Not provided
Address
11340 HERON BAY BLVD
Enumeration Date
19 September 2005
Last Update Date
13 February 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
5618208580
Graduation Year
2002 (24 years ago)
PAC ID
1850323569
Group Practice PAC ID
4789117326
Professional Enrollment ID
I20050902000012
Address ID
FL334013411WE1411XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. IAN RUSSINOFF (MD)

  • Heron Bay Boulevard, Coral Springs, Broward County, Florida, 33076, United States

    #2515

    CORAL SPRINGS, FL 330761629

    Phone:

    Type: Mailing

  • Broward Health Medical Center, 1600, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States

    BROWARD GENERAL ED

    FT LAUDERDALE, FL 333162510

    Phone: (954) 355-4400

    Type: Location

  • 10260 S BARNSLEY DR

    PARKLAND, FL 330764460

    Phone: (917) 692-4892

    Type: Mailing

  • 1411 N FLAGLER DR STE 6200

    WEST PALM BEACH, FL 334013416

    Phone: (561) 820-8580

    Fax: (561) 820-8581

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $766.

Total Amount is formed as General ($766) + Research ($0) + Ownership ($0) = $766.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($166).

Total Amount

$766

General + Research + Ownership

Payments

19

Total payment records

General Amount

$766

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2005-09-02

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
I20050902000012IInternal 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
99213Established patient office or other outpatient visit, 20-29 minutes10770$0
99284Emergency department visit with moderate level of medical decision making8988$0
99214Established patient office or other outpatient visit, 30-39 minutes4637$0
99283Emergency department visit with low level of medical decision making3938$0
36415Insertion of needle into vein for collection of blood sample3832$0
View full utilization report →

Insurance plans in this area (ZIP 33076)

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Provider's Procedures

DR. IAN RUSSINOFF (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEFL71010X-ray of chest, 1 view, front3535
EMERGENCY MEDICINEFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report291275

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: 4789117326View full group profile
NameSpecialtyState
Nurse PractitionerRI

Reviews

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Frequently asked questions

What is the registry number for DR. IAN RUSSINOFF (MD)?
The registry entry for DR. IAN RUSSINOFF (MD) shows NPI 1477548295.
Is DR. IAN RUSSINOFF (MD)'s NPI status active today?
Active status means DR. IAN RUSSINOFF (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. IAN RUSSINOFF (MD) does?
Insurance directories may phrase it differently, but here DR. IAN RUSSINOFF (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. IAN RUSSINOFF (MD)?
DR. IAN RUSSINOFF (MD) shows a connection to Coral Springs, Florida in registry-derived data.
Why is information missing for DR. IAN RUSSINOFF (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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