KATHERINE RUSSELL (MD) – Emergency Medicine Physician, NPI 1477181659

KATHERINE RUSSELL (MD) is a healthcare provider. based in Augusta, Maine. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.142965 (OH). The NPI Number for KATHERINE RUSSELL (MD) is 1477181659

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE RUSSELL (MD)
NPI
1477181659
Phone
(885) 464-4463
Address
35 MEDICAL CENTER PKWY
Enumeration Date
1 April 2020
Last Update Date
24 February 2026

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4193425015
Graduation Year
2020 (6 years ago)
PAC ID
2365866647
Group Practice PAC ID
7810233517
Professional Enrollment ID
I20240520003024
Address ID
OH448751490SH199XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

886 FAMILY PRACTICE in ME

Provider Addresses for KATHERINE RUSSELL (MD)

  • 35 MEDICAL CENTER PKWY

    AUGUSTA, ME 043308160

    Phone: (885) 464-4463

    Type: Mailing

  • 4065 Center Rd

    Brunswick, OH 442122918

    Phone: (330) 558-0123

    Type: Location

  • 18697 BAGLEY RD

    Middleburg Heights, OH 441303417

    Phone: (440) 816-8000

    Type: Location

  • 1900 23rd St

    Cuyahoga Falls, OH 442231404

    Phone: (330) 971-7405

    Type: Location

  • 4308 W 204TH ST

    FAIRVIEW PARK, OH 441261541

    Phone:

    Type: Mailing

  • 1900 23RD ST

    CUYAHOGA FALLS, OH 442231404

    Phone: (330) 971-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2023-04-13 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($122).

Total Amount

$158

General + Research + Ownership

Payments

3

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-05-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240520003024IEmergency MedicineOHTBD

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
99284Emergency department visit with moderate level of medical decision making4443$0
99283Emergency department visit with low level of medical decision making3232$0
99285Emergency department visit with high level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 04330)

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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: 7810233517View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineOH
Emergency MedicineVA
Family Practice, Emergency MedicineLA
Emergency MedicineOH
Internal MedicineWV
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to KATHERINE RUSSELL (MD)?
NPI 1477181659 is assigned to KATHERINE RUSSELL (MD) under the national enumeration system.
Does this profile mean KATHERINE RUSSELL (MD) is currently active?
Yes — KATHERINE RUSSELL (MD) appears active in the national provider directory.
Does KATHERINE RUSSELL (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for KATHERINE RUSSELL (MD). Clinical services aligned with this taxonomy classification.
Where is KATHERINE RUSSELL (MD)'s primary listing?
We display Augusta, Maine because that is what the record indicates for KATHERINE RUSSELL (MD).
Is KATHERINE RUSSELL (MD) a real provider?
This page reflects official NPPES data for NPI 1477181659. Always confirm identity and privileges with the practice and licensing boards.

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