JONATHAN MATT RUSSO (MD) – Gastroenterology Physician, NPI 1184681892
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
829 GASTROENTEROLOGY in MA
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Provider Addresses for JONATHAN MATT RUSSO (MD)
47, Obery Street, Jabez Corner, Plymouth, Plymouth County, Massachusetts, 02360, United States
SUITE 201
PLYMOUTH, MA 02360
Phone: (508) 747-1560
Fax: (508) 747-5155
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $206.
Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Boston Scientific Corporation ($145).
Total Amount
$206
General + Research + Ownership
Payments
4
Total payment records
General Amount
$206
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $145 |
| Gilead Sciences, Inc. | $45 |
| CONMED Corporation | $16 |
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: 2005-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050325000392 | I | Gastroenterology | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 378 | 265 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 208 | 207 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 185 | 183 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 157 | 157 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 109 | 109 | $0 |
Insurance plans in this area (ZIP 02360)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 31 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | MA | |
| Physician Assistant | MA | |
| Certified Nurse Midwife (Cnm) | MA | |
| Physician Assistant | MO | |
| Nurse Practitioner | MA | |
| Thoracic Surgery | MA | |
| H E M A T O L O G Y/ O N C O L O G Y | MA | |
| - | MA | |
| General Surgery | MA | |
| Nurse Practitioner | MA |
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