SAMUEL DAVID RUSS (MD) – Orthopaedic Surgery Physician, NPI 1518354828
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
151 ORTHOPEDIC SURGERY in ME
Provider Addresses for SAMUEL DAVID RUSS (MD)
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON, ME 042437291
Phone: (207) 777-8950
Fax: (207) 777-8800
Type: Mailing
117 AUBURN ST
PORTLAND, ME 041036003
Phone: (207) 797-4791
Fax: (207) 317-5390
Type: Location
710 COMMERCE DR STE 200
WOODBURY, MN 551254925
Phone: (651) 968-5200
Fax: (651) 968-5904
Type: Mailing
2090 WOODWINDS DR STE 200
WOODBURY, MN 551252522
Phone: (651) 968-5201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $2,377.
Total Amount is formed as General ($2,377) + Research ($0) + Ownership ($0) = $2,377.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Arthrex, Inc. ($1,035).
Total Amount
$2,377
General + Research + Ownership
Payments
25
Total payment records
General Amount
$2,377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,035 |
| Stryker Corporation | $574 |
| Foundation Medical, Llc | $481 |
| Paragon 28, Inc. | $155 |
| DePuy Synthes Sales Inc. | $88 |
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: 2021-08-18
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 |
|---|---|---|---|---|
| I20210813000888 | I | Orthopedic Surgery | MN | TBD |
| I20210818000716 | I | Orthopedic Surgery | WI | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 172 | 107 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 155 | 103 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 129 | 76 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 71 | 56 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 04243)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| - | MN | |
| Orthopedic Surgery, Sports Medicine | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN |
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