DR. RUSSELL SCOTT KIZOR (MD) – Anesthesiology Physician, NPI 1548792344

DR. RUSSELL SCOTT KIZOR (MD) is a healthcare provider. based in Belfast, Maine. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD24888 (ME). The NPI Number for DR. RUSSELL SCOTT KIZOR (MD) is 1548792344

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL SCOTT KIZOR (MD)
NPI
1548792344
Phone
(207) 338-2500
Address
118 Northport Ave
Enumeration Date
30 March 2017
Last Update Date
7 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055693226
Graduation Year
2016 (10 years ago)
PAC ID
1153694864
Group Practice PAC ID
1951386598
Professional Enrollment ID
I20241212002042
Address ID
CA931053351SA3045XSTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

285 ANESTHESIOLOGY in ME

Provider Addresses for DR. RUSSELL SCOTT KIZOR (MD)

  • 118 Northport Ave

    Belfast, ME 049156072

    Phone: (207) 338-2500

    Type: Location

  • 6 Glen Cove Dr

    Rockport, ME 048564272

    Phone: (207) 301-8000

    Type: Location

  • 22 Bramhall St

    Portland, ME 041023134

    Phone: (207) 482-7800

    Type: Location

  • Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041023134

    Phone: (207) 662-0111

    Type: Mailing

  • 6 GLEN COVE DR

    ROCKPORT, ME 048564272

    Phone: (207) 301-8000

    Type: Mailing

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: 2024-12-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210810003329IAnesthesiologyMETBD
I20241212002042IAnesthesiologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04915)

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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: 1951386598View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YMD
-MA
A N E S T H E S I O L O G YCA
Anesthesiology, Critical Care (Intensivists)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YAE
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How do payers reference DR. RUSSELL SCOTT KIZOR (MD)?
For DR. RUSSELL SCOTT KIZOR (MD), use NPI 1548792344 as the unique 10-digit identifier.
Would DR. RUSSELL SCOTT KIZOR (MD) appear as active to a payer?
You can treat DR. RUSSELL SCOTT KIZOR (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. RUSSELL SCOTT KIZOR (MD)?
DR. RUSSELL SCOTT KIZOR (MD)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Maine is DR. RUSSELL SCOTT KIZOR (MD) registered?
Use Belfast, Maine as the headline location for DR. RUSSELL SCOTT KIZOR (MD) here.
When was this NPI issued?
Enumeration for DR. RUSSELL SCOTT KIZOR (MD) is noted as March 30, 2017 where the registry provides it.

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