RUSSELL TODD ALLEN (DO) – Emergency Medicine Physician, NPI 1194090357
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
452 EMERGENCY MEDICINE in KS
Provider Addresses for RUSSELL TODD ALLEN (DO)
4104 S 4th St
Leavenworth, KS 660485082
Phone: (913) 682-2000
Type: Location
608 SHAKERTOWN WAY
COLUMBIA, MO 652036822
Phone: (785) 477-8597
Type: Mailing
1515 UNION AVE
MOBERLY, MO 65270
Phone: (666) 263-8400
Fax: (954) 616-3866
Type: Location
5207 SW RAINTREE PKWY
LEES SUMMIT, MO 640824529
Phone: (785) 477-8507
Type: Mailing
130 E LOCKLING ST
BROOKFIELD, MO 646282337
Phone: (660) 258-2222
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: 2020-01-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140212001088 | I | Emergency Medicine | MO | TBD |
| I20200122001423 | I | Emergency Medicine | KS | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 49 | 43 | $0 |
Insurance plans in this area (ZIP 66048)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Family Practice, Emergency Medicine | MO | |
| Emergency Medicine | NJ | |
| Emergency Medicine | TX | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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