DR. RUSSELL C. PACKARD (M.D.) – Psychiatry Physician, NPI 1881686392

DR. RUSSELL C. PACKARD (M.D.) is a healthcare provider. based in Fort pierce, Florida. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. ME30779 (FL). The NPI Number for DR. RUSSELL C. PACKARD (M.D.) is 1881686392

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL C. PACKARD (M.D.)
NPI
1881686392
Phone
(772) 461-0820
Address
1870 N LAWNWOOD CIR
Enumeration Date
19 August 2005
Last Update Date
8 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
9037311000
Graduation Year
1971 (55 years ago)
PAC ID
0143270876
Group Practice PAC ID
6305901927
Professional Enrollment ID
I20050201000114
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. RUSSELL C. PACKARD (M.D.)

  • North Lawnwood Circle, Glidden Park, Fort Pierce, St. Lucie County, Florida, 34950, United States

    SUITE # A-E

    FORT PIERCE, FL 349504828

    Phone: (772) 461-0820

    Fax: (772) 461-0823

    Type: Location

  • 4000 S LOOP 256 STE A-E

    PALESTINE, TX 758018467

    Phone: (903) 731-5372

    Fax: (903) 731-5130

    Type: Mailing

  • 4659 FM 1990

    PALESTINE, TX 758011162

    Phone: (903) 213-2216

    Fax: (903) 213-9233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($38).

Total Amount

$106

General + Research + Ownership

Payments

5

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2005-02-01

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
I20050201000114IPsychiatryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34950)

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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: 6305901927View full group profile
NameSpecialtyState
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerTX
-TX
-TX
Orthopedic SurgeryTX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TN
Cardiovascular Disease (Cardiology), Nuclear MedicineTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

What federal number belongs to DR. RUSSELL C. PACKARD (M.D.)?
The federal identifier for DR. RUSSELL C. PACKARD (M.D.) is NPI 1881686392.
Is DR. RUSSELL C. PACKARD (M.D.) active in the national directory?
DR. RUSSELL C. PACKARD (M.D.)'s public NPI profile is in an active state.
What does DR. RUSSELL C. PACKARD (M.D.) treat or focus on?
Patients typically see DR. RUSSELL C. PACKARD (M.D.) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. RUSSELL C. PACKARD (M.D.)?
The snapshot lists Fort Pierce, Florida for DR. RUSSELL C. PACKARD (M.D.); download NPPES for the complete set.
How can I contact DR. RUSSELL C. PACKARD (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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