MS. MICHELLE M RUSSELL (DO) – Family Medicine Physician, NPI 1366428476

MS. MICHELLE M RUSSELL (DO) is a healthcare provider. based in Centerville, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 34005033 (OH). The NPI Number for MS. MICHELLE M RUSSELL (DO) is 1366428476

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MS. MICHELLE M RUSSELL (DO)
NPI
1366428476
Phone
(937) 562-2291
Address
7700 WASHINGTON VILLAGE DR STE 210
Enumeration Date
20 December 2005
Last Update Date
24 November 2020

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9375622300
Graduation Year
1989 (37 years ago)
PAC ID
5890723712
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20050802000313
Address ID
OH454292843KE424XXRDXX401
Telehealth
Yes

Contacts

Secure Messaging
mrussell189268@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,431 FAMILY PRACTICE in OH

Provider Addresses for MS. MICHELLE M RUSSELL (DO)

  • 7700 WASHINGTON VILLAGE DR STE 210

    CENTERVILLE, OH 454594094

    Phone: (937) 562-2291

    Fax: (937) 562-2293

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($49).

Total Amount

$116

General + Research + Ownership

Payments

4

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-08-02

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
I20050802000313IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes357190$0
99213Established patient office or other outpatient visit, 20-29 minutes205124$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11615$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9494$0
90662Influenza vaccine split virus, preservative free6262$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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Provider's Procedures

MS. MICHELLE M RUSSELL (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH81002Urinalysis, manual test3829
FAMILY MEDICINEOH90670Pneumococcal vaccine for injection into muscle3535

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: 0840104360View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What identifier follows MS. MICHELLE M RUSSELL (DO) across health systems?
The NPI 1366428476 uniquely identifies MS. MICHELLE M RUSSELL (DO) in U.S. healthcare data.
Should I treat MS. MICHELLE M RUSSELL (DO) as an active provider?
Patients and plans typically see MS. MICHELLE M RUSSELL (DO) as active in the national extract.
What does the directory say MS. MICHELLE M RUSSELL (DO) does?
Insurance directories may phrase it differently, but here MS. MICHELLE M RUSSELL (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MS. MICHELLE M RUSSELL (DO) in Centerville, Ohio?
For routing, start with Centerville, Ohio for MS. MICHELLE M RUSSELL (DO), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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