DR. CHRISTOPHER GAVIN RUSSELL (D.C.) – Chiropractor, NPI 1154738144

DR. CHRISTOPHER GAVIN RUSSELL (D.C.) is a healthcare provider. based in Southgate, Michigan. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2301010232 (MI). The NPI Number for DR. CHRISTOPHER GAVIN RUSSELL (D.C.) is 1154738144

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER GAVIN RUSSELL (D.C.)
NPI
1154738144
Phone
Not provided
Address
15195 ALLEN RD
Enumeration Date
22 July 2014
Last Update Date
30 July 2014

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
7342849800
Graduation Year
2014 (12 years ago)
PAC ID
7416176946
Group Practice PAC ID
8921189242
Professional Enrollment ID
I20140916001677
Address ID
MI481952921SO15195RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,869 CHIROPRACTIC in MI

Provider Addresses for DR. CHRISTOPHER GAVIN RUSSELL (D.C.)

  • 15195 ALLEN RD

    SOUTHGATE, MI 481952921

    Phone:

    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)

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: 2014-09-16

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
I20140916001677IChiropracticMITBD

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
98940Chiropractic manipulative treatment, 1-2 spinal regions23947$0
View full utilization report →

Insurance plans in this area (ZIP 48195)

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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: 8921189242View full group profile
NameSpecialtyState
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

How do payers reference DR. CHRISTOPHER GAVIN RUSSELL (D.C.)?
For DR. CHRISTOPHER GAVIN RUSSELL (D.C.), use NPI 1154738144 as the unique 10-digit identifier.
Active or inactive — what applies to DR. CHRISTOPHER GAVIN RUSSELL (D.C.)?
You should see DR. CHRISTOPHER GAVIN RUSSELL (D.C.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. CHRISTOPHER GAVIN RUSSELL (D.C.)?
DR. CHRISTOPHER GAVIN RUSSELL (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CHRISTOPHER GAVIN RUSSELL (D.C.)?
Directory geography for DR. CHRISTOPHER GAVIN RUSSELL (D.C.) centers on Southgate, Michigan.
Can I trust this NPI listing for DR. CHRISTOPHER GAVIN RUSSELL (D.C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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