ALYSE CORTNEY RUSSO (MPAS, PA-C) – Physician Assistant, NPI 1346516408
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for ALYSE CORTNEY RUSSO (MPAS, PA-C)
16 RAINBOW TRL
DENVILLE, NJ 078343208
Phone: (973) 462-9455
Type: Mailing
870 PALISADE AVE
SUITE 302
TEANECK, NJ 076663419
Phone: (201) 836-9696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 172 Open Payments records for all available years, with a total value of $4,840.
Total Amount is formed as General ($4,840) + Research ($0) + Ownership ($0) = $4,840.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($2,229).
Total Amount
$4,840
General + Research + Ownership
Payments
172
Total payment records
General Amount
$4,840
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,229 |
| MAYNE PHARMA COMMERCIAL LLC | $498 |
| E.R. Squibb & Sons, L.L.C. | $384 |
| Sun Pharmaceutical Industries Inc. | $270 |
| Medimetriks Pharmaceuticals, Inc. | $250 |
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: 2017-10-31
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 |
|---|---|---|---|---|
| I20171031003172 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 811 | 183 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 503 | 354 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 324 | 245 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 242 | 206 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 102 | 102 | $0 |
Insurance plans in this area (ZIP 07834)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | NJ | |
| D E R M A T O L O G Y | NJ |
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