DR. ANDREW COLIN RUSSELL (MD) – Emergency Medicine Physician, NPI 1902120819

DR. ANDREW COLIN RUSSELL (MD) is a healthcare provider. based in Maryville, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2012023819 (MO). The NPI Number for DR. ANDREW COLIN RUSSELL (MD) is 1902120819

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW COLIN RUSSELL (MD)
NPI
1902120819
Phone
(618) 288-5711
Address
6800 ILLINOIS 162
Enumeration Date
22 March 2010
Last Update Date
18 October 2024

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6182885711
Graduation Year
2010 (16 years ago)
PAC ID
4082865811
Group Practice PAC ID
8022401256
Professional Enrollment ID
I20140922000350
Address ID
IL620628500MA6800X162X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for DR. ANDREW COLIN RUSSELL (MD)

  • Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 62062

    Phone: (618) 288-5711

    Type: Mailing

  • 28, Country Club View, Edwardsville, Madison County, Illinois, 62025, United States

    EDWARDSVILLE, IL 620253626

    Phone: (573) 424-9110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-02-22 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
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: 2014-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20121103000056IEmergency MedicineMOTBD
I20140922000350IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making247234$0
99284Emergency department visit with moderate level of medical decision making189187$0
99291Critical care, first 30-74 minutes7978$0
99283Emergency department visit with low level of medical decision making4745$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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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: 8022401256View full group profile
NameSpecialtyState
Emergency MedicineMI
Nurse PractitionerIL
Emergency Medicine, Family PracticeIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerMO
Hospitalist, Emergency MedicineMO
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineIL

Reviews

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Frequently asked questions

Where can patients find DR. ANDREW COLIN RUSSELL (MD)'s NPI?
You can confirm DR. ANDREW COLIN RUSSELL (MD) with NPI 1902120819; it appears in the national provider directory.
Does this profile mean DR. ANDREW COLIN RUSSELL (MD) is currently active?
Yes — DR. ANDREW COLIN RUSSELL (MD) appears active in the national provider directory.
Does DR. ANDREW COLIN RUSSELL (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. ANDREW COLIN RUSSELL (MD). Clinical services aligned with this taxonomy classification.
Where is DR. ANDREW COLIN RUSSELL (MD)'s primary listing?
We display Maryville, Illinois because that is what the record indicates for DR. ANDREW COLIN RUSSELL (MD).
How can I contact DR. ANDREW COLIN RUSSELL (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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