RUSSELL F JOHNSON (MD) – Radiation Oncology Physician, NPI 1003801283
Radiation Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
161 RADIATION ONCOLOGY in IN
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Provider Addresses for RUSSELL F JOHNSON (MD)
Memorial Hospital of South Bend, 615, North Michigan Street, South Bend, Saint Joseph County, Indiana, 46601, United States
1ST FLOOR
SOUTH BEND, IN 466011033
Phone: (574) 647-7461
Type: Location
710, North Niles Avenue, Harters Heights, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
621 Memorial Dr Ste 100
South Bend, IN 466011063
Phone: (574) 647-1100
Type: Location
1215 LAWN AVE STE 120
ELKHART, IN 465142450
Phone: (574) 523-2733
Fax: (574) 523-3251
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-11-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051102000667 | I | Radiation Oncology | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 163 | 26 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 63 | 27 | $0 |
| 77300 | Calculation of radiation therapy dose | 52 | 13 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 37 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 32 | $0 |
Insurance plans in this area (ZIP 46601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| - | IN | |
| Vascular Surgery | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN |
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