KIMBERLY RUSSELL (MD) – Otolaryngology Physician, NPI 1326305905

KIMBERLY RUSSELL (MD) is a healthcare provider. based in Brockton, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 269874 (MA). The NPI Number for KIMBERLY RUSSELL (MD) is 1326305905

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY RUSSELL (MD)
NPI
1326305905
Phone
(508) 588-8034
Address
35 PEARL ST STE 100
Enumeration Date
19 April 2012
Last Update Date
17 April 2018

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5086991701
Graduation Year
2017 (9 years ago)
PAC ID
2365714714
Group Practice PAC ID
0648353888
Professional Enrollment ID
I20170919004006
Address ID
MA027621301PL188XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in MA

Provider Addresses for KIMBERLY RUSSELL (MD)

  • 35 PEARL ST STE 100

    BROCKTON, MA 023012866

    Phone: (508) 588-8034

    Fax: (508) 588-5969

    Type: Location

  • 35 PEARL ST

    STE 100

    BROCKTON, MA 023012866

    Phone: (508) 588-8034

    Fax: (508) 588-5969

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $918.

Total Amount is formed as General ($918) + Research ($0) + Ownership ($0) = $918.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($300).

Total Amount

$918

General + Research + Ownership

Payments

35

Total payment records

General Amount

$918

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2017-09-19

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
I20170919004006IOtolaryngologyMATBD

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 minutes474341$0
95004Test for allergy using allergenic extract42414$0
69210Removal of impacted ear wax288219$0
99203New patient office or other outpatient visit, 30-44 minutes229229$0
99214Established patient office or other outpatient visit, 30-39 minutes174135$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 0648353888View full group profile
NameSpecialtyState
-MA
Qualified AudiologistMA
-MA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
-RI
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

Can I verify KIMBERLY RUSSELL (MD) with an NPI only?
You can start verification with NPI 1326305905 for KIMBERLY RUSSELL (MD), then check state licensing separately.
Is KIMBERLY RUSSELL (MD) still practicing?
KIMBERLY RUSSELL (MD) is currently listed as active in the public NPI registry.
What is KIMBERLY RUSSELL (MD)'s specialty?
The listing groups KIMBERLY RUSSELL (MD) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Does KIMBERLY RUSSELL (MD) list a practice location?
Patients near Brockton, Massachusetts may find KIMBERLY RUSSELL (MD) in results; validate coverage separately.
Why does KIMBERLY RUSSELL (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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