DR. RUSSELL EDWARD MEYER (M.D.) – Diagnostic Radiology Physician, NPI 1124260138

DR. RUSSELL EDWARD MEYER (M.D.) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 042.0013256 (VT). The NPI Number for DR. RUSSELL EDWARD MEYER (M.D.) is 1124260138

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL EDWARD MEYER (M.D.)
NPI
1124260138
Phone
(612) 573-2200
Address
7595 Anagram Dr
Enumeration Date
6 April 2009
Last Update Date
22 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
6125732200
Graduation Year
2009 (17 years ago)
PAC ID
4082680400
Group Practice PAC ID
7719899962
Professional Enrollment ID
I20151029002928
Address ID
VT054037237SO5XXXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for DR. RUSSELL EDWARD MEYER (M.D.)

  • 7595 Anagram Dr

    Eden Prairie, MN 553447399

    Phone: (612) 573-2200

    Fax: (612) 573-2274

    Type: Location

  • Central Vermont Medical Center, 130, Fisher Road, Berlin, Washington County, Vermont, 05602, United States

    CVMC-RADIOLOGY

    BERLIN, VT 056029516

    Phone: (802) 371-4250

    Fax: (802) 371-5352

    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: 2024-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20150828001895IDiagnostic RadiologyNYTBD
I20151029002928IDiagnostic RadiologyVTTBD
I20221004003826IDiagnostic RadiologyMNTBD
I20240129004073IDiagnostic RadiologyNDTBD

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
77067Screening mammography510510$0
77063Screening 3d breast mammography504504$0
71046X-ray of chest, 2 views330322$0
71045X-ray of chest, 1 view256230$0
74177Ct scan of abdomen and pelvis with contrast219216$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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Provider's Procedures

DR. RUSSELL EDWARD MEYER (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYVT71010X-ray of chest, 1 view, front245216
DIAGNOSTIC RADIOLOGYVT71250CT scan chest6968
DIAGNOSTIC RADIOLOGYVT73110X-ray of wrist, minimum of 3 views5347
DIAGNOSTIC RADIOLOGYVT73140X-ray of fingers, minimum of 2 views2926

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: 7719899962View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
Diagnostic RadiologyCO
Diagnostic RadiologyMN
-MN
Diagnostic RadiologyMN
Interventional Radiology, Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic Radiology, Interventional RadiologyMN
-MN
Diagnostic RadiologyWA

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Frequently asked questions

Does DR. RUSSELL EDWARD MEYER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RUSSELL EDWARD MEYER (M.D.) uses 1124260138.
Does the file indicate DR. RUSSELL EDWARD MEYER (M.D.) is practicing under active NPI?
Directory data currently reports DR. RUSSELL EDWARD MEYER (M.D.) as active.
What is DR. RUSSELL EDWARD MEYER (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DR. RUSSELL EDWARD MEYER (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. RUSSELL EDWARD MEYER (M.D.) list a practice location?
Patients near Eden Prairie, Minnesota may find DR. RUSSELL EDWARD MEYER (M.D.) in results; validate coverage separately.
Is the information about DR. RUSSELL EDWARD MEYER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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