KIMBERLY RUSSELL (MD) – Otolaryngology Physician, NPI 1326305905
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $300 |
| GENZYME CORPORATION | $284 |
| GlaxoSmithKline, LLC. | $271 |
| Ethicon US, LLC | $33 |
| Hikma Pharmaceuticals USA | $31 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170919004006 | I | Otolaryngology | 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 | 474 | 341 | $0 |
| 95004 | Test for allergy using allergenic extract | 424 | 14 | $0 |
| 69210 | Removal of impacted ear wax | 288 | 219 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 229 | 229 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 174 | 135 | $0 |
Insurance plans in this area (ZIP 02301)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Qualified Audiologist | MA | |
| - | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| - | RI | |
| O T O L A R Y N G O L O G Y | MA |
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