RUSSELL COULTER (MD) – Family Medicine Physician, NPI 1548227606

RUSSELL COULTER (MD) is a healthcare provider. based in Sparta, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036064147 (IL). The NPI Number for RUSSELL COULTER (MD) is 1548227606

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL COULTER (MD)
NPI
1548227606
Phone
(618) 443-3084
Address
FAMILY HEALTH CENTRE
Enumeration Date
1 May 2006
Last Update Date
4 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184432177
Graduation Year
1980 (46 years ago)
PAC ID
3870515661
Group Practice PAC ID
6709870462
Professional Enrollment ID
I20060314000618
Address ID
IL622861820SP818XXSTXX400

Contacts

Secure Messaging
fhc@spartahospital.hin.us
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

5,052 FAMILY PRACTICE in IL

Provider Addresses for RUSSELL COULTER (MD)

  • FAMILY HEALTH CENTRE

    207 SOUTH BURNS AVE

    SPARTA, IL 62286

    Phone: (618) 443-3084

    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 7 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($128).

Total Amount

$128

General + Research + Ownership

Payments

7

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$128
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: 2006-03-14

PECOS data refreshed: 2026-06-15

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
I20060314000618IFamily PracticeILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes30198$0
99238Hospital discharge day management, 30 minutes or less211163$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes175142$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4419$0
99235Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes3836$0
View full utilization report →

Insurance plans in this area (ZIP 62286)

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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: 6709870462View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Family PracticeIL
R H E U M A T O L O G YIL
Nurse PractitionerIL
P O D I A T R YIL
Family PracticeIL
Physical Medicine And Rehabilitation, Pain Management, Physical Medicine And Rehabilitation, Pain ManagementMO
-MO
Physician AssistantIL

Reviews

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Frequently asked questions

Can I cross-check RUSSELL COULTER (MD) using NPI 1548227606?
NPI 1548227606 belongs to RUSSELL COULTER (MD); compare other details if you need extra assurance.
Is RUSSELL COULTER (MD) still an active registrant?
RUSSELL COULTER (MD) carries an active NPI according to the public dataset.
What kind of doctor is RUSSELL COULTER (MD)?
RUSSELL COULTER (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is RUSSELL COULTER (MD) located near Sparta?
RUSSELL COULTER (MD) currently maps to Sparta, Illinois in this extract.
Does RUSSELL COULTER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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