RUSSELL DAVID DOLAN (MD) – Gastroenterology Physician, NPI 1093162661
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
648 GASTROENTEROLOGY in MI
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Provider Addresses for RUSSELL DAVID DOLAN (MD)
Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
TC 3116
ANN ARBOR, MI 481095368
Phone:
Type: Mailing
5115 OLEANDER DR
WILMINGTON, NC 284037018
Phone: (910) 362-1011
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,067.
Total Amount is formed as General ($1,067) + Research ($0) + Ownership ($0) = $1,067.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($564).
Total Amount
$1,067
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,067
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $564 |
| CONMED Corporation | $203 |
| Regeneron Healthcare Solutions, Inc. | $129 |
| E.R. Squibb & Sons, L.L.C. | $50 |
| CapsoVision, Inc. | $32 |
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: 2022-06-22
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 |
|---|---|---|---|---|
| I20220622000269 | I | Gastroenterology | NC | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 138 | 135 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 122 | 117 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 109 | 109 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 108 | 108 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 86 | 71 | $0 |
Insurance plans in this area (ZIP 48109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | NC | |
| - | GA | |
| G A S T R O E N T E R O L O G Y | LA | |
| G A S T R O E N T E R O L O G Y | NC | |
| Physician Assistant | NC | |
| - | NC | |
| Physician Assistant | NC | |
| Physician Assistant | NC | |
| Physician Assistant | NC |
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