DR. MICHAEL STEVEN RUSSELL (O.D.) – Optometrist, NPI 1619351715

DR. MICHAEL STEVEN RUSSELL (O.D.) is a healthcare provider. based in Oswego, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046010918 (IL). The NPI Number for DR. MICHAEL STEVEN RUSSELL (O.D.) is 1619351715

Main info

Male
11 Years Of Experience
Name
DR. MICHAEL STEVEN RUSSELL (O.D.)
NPI
1619351715
Phone
(630) 554-8002
Address
83 TEMPLETON DR
Enumeration Date
17 July 2015
Last Update Date
13 December 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6303556878
Graduation Year
2015 (11 years ago)
PAC ID
5496042491
Group Practice PAC ID
5294144812
Professional Enrollment ID
I20160919002183
Address ID
IL605407964NA1112XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. MICHAEL STEVEN RUSSELL (O.D.)

  • 83 TEMPLETON DR

    STE F

    OSWEGO, IL 605437025

    Phone: (630) 554-8002

    Fax: (630) 554-8095

    Type: Mailing

  • 370 HOUBOLT RD

    SUITE 102

    JOLIET, IL 604318303

    Phone: (815) 729-9143

    Fax: (815) 729-1580

    Type: Location

  • 1112 S WASHINGTON ST STE 214

    NAPERVILLE, IL 605407964

    Phone: (630) 355-6878

    Fax: (630) 355-0043

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $359.

Total Amount is formed as General ($359) + Research ($0) + Ownership ($0) = $359.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($261).

Total Amount

$359

General + Research + Ownership

Payments

10

Total payment records

General Amount

$359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

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: 2016-09-19

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
I20160919002183IOptometryILTBD

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 minutes3425$0
99214Established patient office or other outpatient visit, 30-39 minutes1716$0
92083Exam of visual field with extended testing1211$0
92133Imaging of optic nerve1211$0
View full utilization report →

Insurance plans in this area (ZIP 60543)

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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: 5294144812View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What number should I use to identify DR. MICHAEL STEVEN RUSSELL (O.D.) for billing?
Administrative and clinical systems typically use NPI 1619351715 for DR. MICHAEL STEVEN RUSSELL (O.D.).
Does the public listing show DR. MICHAEL STEVEN RUSSELL (O.D.) as active?
DR. MICHAEL STEVEN RUSSELL (O.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MICHAEL STEVEN RUSSELL (O.D.)?
NPPES ties DR. MICHAEL STEVEN RUSSELL (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MICHAEL STEVEN RUSSELL (O.D.) in Oswego, Illinois?
For routing, start with Oswego, Illinois for DR. MICHAEL STEVEN RUSSELL (O.D.), then verify phone and hours locally.
Who maintains DR. MICHAEL STEVEN RUSSELL (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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