MRS. TRINA MARY RUSSO (DPM) – Podiatrist, NPI 1174500862

MRS. TRINA MARY RUSSO (DPM) is a healthcare provider. based in Eastpointe, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. TR001571 (MI). The NPI Number for MRS. TRINA MARY RUSSO (DPM) is 1174500862

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TRINA MARY RUSSO (DPM)
NPI
1174500862
Phone
(586) 779-8600
Address
20967 KELLY RD
Enumeration Date
23 December 2005
Last Update Date
29 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5862868660
Graduation Year
2020 (6 years ago)
PAC ID
4385623420
Professional Enrollment ID
I20040714000439
Address ID
MI480384093CL39090RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

753 PODIATRY in MI

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Provider Addresses for MRS. TRINA MARY RUSSO (DPM)

  • 20967, Kelly Road, Eastpointe, Macomb County, Michigan, 48021, United States

    EASTPOINTE, MI 48021

    Phone: (586) 779-8600

    Fax: (586) 779-2019

    Type: Location

  • 39090, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States

    STE 108

    CLINTON TOWNSHIP, MI 480384093

    Phone: (586) 779-8600

    Fax: (586) 779-2019

    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: 2024-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040714000439IPodiatryMITBD
I20240311004137IClinical Social WorkerDETBD

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
11721Removal of fingernails or toenails, 6 or more nails16467$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes5523$0
99213Established patient office or other outpatient visit, 20-29 minutes3724$0
10060Simple or single drainage of skin abscess2316$0
11055Removal of noncancer thickened skin growth, 1 growth2317$0
View full utilization report →

Insurance plans in this area (ZIP 48021)

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Reviews

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Frequently asked questions

Is there an official ID for MRS. TRINA MARY RUSSO (DPM) in U.S. healthcare records?
The official identifier for MRS. TRINA MARY RUSSO (DPM) is NPI 1174500862.
Would MRS. TRINA MARY RUSSO (DPM) appear as active to a payer?
You can treat MRS. TRINA MARY RUSSO (DPM) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. TRINA MARY RUSSO (DPM)?
MRS. TRINA MARY RUSSO (DPM)'s specialty line reads Podiatrist. Clinical services aligned with this taxonomy classification.
Is MRS. TRINA MARY RUSSO (DPM) located near Eastpointe?
MRS. TRINA MARY RUSSO (DPM) currently maps to Eastpointe, Michigan in this extract.
Can I trust this NPI listing for MRS. TRINA MARY RUSSO (DPM)?
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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