MR. RUSSELL WHITE (PA) – Surgical Physician Assistant, NPI 1508306473
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. RUSSELL WHITE (PA)
1950 BLUEWATER BLVD
SUITE 100
NICEVILLE, FL 325783887
Phone: (850) 897-8081
Fax: (850) 897-1520
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 6 Open Payments records for all available years, with a total value of $274.
Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Coastal Medical Technologies LLC ($146).
Total Amount
$274
General + Research + Ownership
Payments
6
Total payment records
General Amount
$274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Coastal Medical Technologies LLC | $146 |
| Bioventus LLC | $48 |
| Vericel Corporation | $42 |
| Medtronic, Inc. | $20 |
| DePuy Synthes Sales Inc. | $18 |
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: 2017-04-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170424002396 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 6,540 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 634 | 400 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 456 | 271 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 418 | 281 | $0 |
| 73560 | X-ray of knee, 1-2 views | 178 | 152 | $0 |
Insurance plans in this area (ZIP 32578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | PA | |
| Otolaryngology, General Surgery | FL | |
| O T O L A R Y N G O L O G Y | KY | |
| General Surgery, Critical Care (Intensivists) | FL | |
| Orthopedic Surgery | FL | |
| Otolaryngology, Sleep Medicine | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| O P H T H A L M O L O G Y | FL | |
| Pain Management | FL |
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