EVAN T RUSSELL (MD) – Interventional Cardiology Physician, NPI 1609039973
Interventional Cardiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
725 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN
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Provider Addresses for EVAN T RUSSELL (MD)
2325, 18th Street, Columbus, Bartholomew County, Indiana, 47201, United States
SUITE 130
COLUMBUS, IN 472015388
Phone: (812) 379-2020
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606775383
Phone: (812) 376-5315
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $1,146.
Total Amount is formed as General ($1,146) + Research ($0) + Ownership ($0) = $1,146.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Boston Scientific Corporation ($254).
Total Amount
$1,146
General + Research + Ownership
Payments
35
Total payment records
General Amount
$1,146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-10-09
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110608000564 | I | Cardiovascular Disease (Cardiology) | IN | TBD |
| I20141009002653 | I | Interventional Cardiology | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 419 | 375 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 292 | 291 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 133 | 123 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 117 | 106 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 92 | 86 | $0 |
Insurance plans in this area (ZIP 47201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 36 | 36 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IN | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 15 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IN | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | IN | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| Family Practice | IN | |
| Physician Assistant | IL | |
| Nurse Practitioner | IN |
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