DR. STEPHEN RUSSELL HARRISON (DO) – Family Medicine Physician, NPI 1275644361
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
53 OSTEOPATHIC MANIPULATIVE MEDICINE in IN
Provider Addresses for DR. STEPHEN RUSSELL HARRISON (DO)
7301 N Shadeland Ave
Suite 1A
Indianapolis, IN 462502085
Phone: (317) 577-1800
Fax: (317) 577-1805
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone:
Type: Mailing
2902 W 86TH ST STE 220
INDIANAPOLIS, IN 462682196
Phone: (317) 343-8607
Fax: (877) 473-0054
Type: Location
7301, North Shadeland Avenue, Indianapolis, Marion County, Indiana, 46250, United States
SUITE 1A
INDIANAPOLIS, IN 462502085
Phone: (317) 577-1800
Fax: (317) 577-1805
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($25).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $25 |
| GlaxoSmithKline, LLC. | $16 |
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: 2012-12-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121204000077 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46250)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Family Practice | KY | |
| Nurse Practitioner | IN | |
| Internal Medicine | KY |
Reviews
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