DR. JOSEPH A RUSSO (O.D.) – Optometrist, NPI 1114903218

DR. JOSEPH A RUSSO (O.D.) is a healthcare provider. based in N dartmouth, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT1037 (ME). The NPI Number for DR. JOSEPH A RUSSO (O.D.) is 1114903218

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH A RUSSO (O.D.)
NPI
1114903218
Phone
(508) 994-1400
Address
51 STATE RD
Enumeration Date
20 December 2005
Last Update Date
29 June 2022

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2077972990
Graduation Year
2000 (26 years ago)
PAC ID
9234102450
Group Practice PAC ID
9537479787
Professional Enrollment ID
I20220112000151
Address ID
ME041052207FA75XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for DR. JOSEPH A RUSSO (O.D.)

  • 51, State Road, North Dartmouth, Dartmouth, Bristol County, Massachusetts, 02747, United States

    N DARTMOUTH, MA 027473319

    Phone: (508) 994-1400

    Fax: (508) 910-2212

    Type: Mailing

  • 364 MAINE MALL RD STE F128

    SOUTH PORTLAND, ME 041063206

    Phone: (207) 383-3456

    Fax: (207) 383-3409

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($64).

Total Amount

$201

General + Research + Ownership

Payments

9

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

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: 2022-01-12

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
I20220112000151IOptometryMETBD

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
92004New patient complete exam of visual system3333$0
92014Established patient complete exam of visual system1919$0
92012Established patient problem focused exam of visual system1514$0
View full utilization report →

Insurance plans in this area (ZIP 02747)

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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: 9537479787View full group profile
NameSpecialtyState
O P T O M E T R YME
O P T O M E T R YME
-ME
O P T O M E T R YME

Reviews

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Frequently asked questions

What is DR. JOSEPH A RUSSO (O.D.)'s NPI number?
DR. JOSEPH A RUSSO (O.D.)'s NPI is 1114903218 — the number used across U.S. healthcare to identify this provider.
Is DR. JOSEPH A RUSSO (O.D.) still an active registrant?
DR. JOSEPH A RUSSO (O.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JOSEPH A RUSSO (O.D.)?
At a glance, DR. JOSEPH A RUSSO (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JOSEPH A RUSSO (O.D.)?
Directory geography for DR. JOSEPH A RUSSO (O.D.) centers on N Dartmouth, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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