DR. L. RUSSELL PET (M.D.) – Psychiatry Physician, NPI 1194745257

DR. L. RUSSELL PET (M.D.) is a healthcare provider. based in Fall river, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 150723 (MA). The NPI Number for DR. L. RUSSELL PET (M.D.) is 1194745257

Main info

Male
34 Years Of Experience
Name
DR. L. RUSSELL PET (M.D.)
NPI
1194745257
Phone
(508) 973-5930
Address
363 Highland Ave
Enumeration Date
20 July 2006
Last Update Date
23 April 2020

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
5084658651
Graduation Year
1992 (34 years ago)
PAC ID
9830187558
Group Practice PAC ID
3870020399
Professional Enrollment ID
I20040503000838
Address ID
MA027213019FA4XXXXSTXX301

Contacts

Secure Messaging
lpet20927@direct.southcoast.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,743 PSYCHIATRY in MA

Provider Addresses for DR. L. RUSSELL PET (M.D.)

  • 363 Highland Ave

    Fall River, MA 027203703

    Phone: (508) 973-5930

    Fax: (508) 973-5931

    Type: Location

  • 4 HARTWELL ST STE 1

    FALL RIVER, MA 027213019

    Phone: (508) 675-0089

    Fax: (508) 675-2233

    Type: Location

  • Hartwell Street, Fall River, Bristol County, Massachusetts, 02721-2704, United States

    FALL RIVER, MA 027213019

    Phone: (508) 675-0089

    Fax: (508) 675-2233

    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: 2004-05-03

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
I20040503000838IPsychiatryMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes292107$0
90792Psychiatric diagnostic evaluation with medical services269242$0
99214Established patient office or other outpatient visit, 30-39 minutes8853$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7247$0
90833Psychotherapy with evaluation and management visit, 30 minutes4821$0
View full utilization report →

Insurance plans in this area (ZIP 02720)

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Provider's Procedures

DR. L. RUSSELL PET (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMA90833Psychotherapy, 30 minutes with patient and/or family member23591

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: 3870020399View full group profile
NameSpecialtyState
Emergency MedicineHI
Emergency MedicineNY
P S Y C H I A T R YMA
Cardiovascular Disease (Cardiology)MA
Internal MedicineMA
Occupational Therapist In Private PracticeMA
P S Y C H I A T R YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
Internal MedicineMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. L. RUSSELL PET (M.D.)'s NPI?
Yes. DR. L. RUSSELL PET (M.D.) is listed with NPI 1194745257 in the public NPI dataset.
Does the file indicate DR. L. RUSSELL PET (M.D.) is practicing under active NPI?
Directory data currently reports DR. L. RUSSELL PET (M.D.) as active.
What healthcare role does DR. L. RUSSELL PET (M.D.) hold?
Scheduling teams often label DR. L. RUSSELL PET (M.D.) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does DR. L. RUSSELL PET (M.D.) serve?
DR. L. RUSSELL PET (M.D.)'s listing highlights Fall River, Massachusetts; more addresses can appear in NPPES.
Is the information about DR. L. RUSSELL PET (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."