MARINA K RUSSO (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1174510978

MARINA K RUSSO (MD) is a healthcare provider. based in Springfield, Illinois. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036102799 (IL). The NPI Number for MARINA K RUSSO (MD) is 1174510978

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MARINA K RUSSO (MD)
NPI
1174510978
Phone
(217) 787-8870
Address
1118 LEGACY POINTE DR
Enumeration Date
5 October 2005
Last Update Date
4 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2176989722
Graduation Year
1989 (37 years ago)
PAC ID
9830089556
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20040317000621
Address ID
IL627047439SP2901XRDXX402

Contacts

Secure Messaging
mrusso107404@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

455 ENDOCRINOLOGY in IL

Provider Addresses for MARINA K RUSSO (MD)

  • 1118 LEGACY POINTE DR

    SPRINGFIELD, IL 62711

    Phone: (217) 787-8870

    Fax: (217) 787-6158

    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 150 Open Payments records for all available years, with a total value of $3,012.

Total Amount is formed as General ($3,012) + Research ($0) + Ownership ($0) = $3,012.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($569).

Total Amount

$3,012

General + Research + Ownership

Payments

150

Total payment records

General Amount

$3,012

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2004-03-17

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
I20040317000621IEndocrinologyILTBD

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
J0897Injection, denosumab, 1 mg1,20011$0
83036Hemoglobin a1c level553318$0
82962Blood glucose (sugar) test performed by hand-held instrument428294$0
99214Established patient office or other outpatient visit, 30-39 minutes402273$0
99213Established patient office or other outpatient visit, 20-29 minutes240191$0
View full utilization report →

Insurance plans in this area (ZIP 62711)

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Provider's Procedures

MARINA K RUSSO (MD) performs procedures in ENDOCRINOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ENDOCRINOLOGYIL83036Hemoglobin A1C level466280

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: 5092857821View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MARINA K RUSSO (MD) in the U.S.?
In the U.S., MARINA K RUSSO (MD) is identified by NPI 1174510978.
Should I treat MARINA K RUSSO (MD) as an active provider?
Patients and plans typically see MARINA K RUSSO (MD) as active in the national extract.
What does the directory say MARINA K RUSSO (MD) does?
Insurance directories may phrase it differently, but here MARINA K RUSSO (MD) maps to Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MARINA K RUSSO (MD) in Springfield, Illinois?
For routing, start with Springfield, Illinois for MARINA K RUSSO (MD), then verify phone and hours locally.
Can I export MARINA K RUSSO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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