DR. ANTHONY RUSSO (M.D.) – Internal Medicine Physician, NPI 1366890410

DR. ANTHONY RUSSO (M.D.) is a healthcare provider. based in Canfield, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35.136883 (OH). The NPI Number for DR. ANTHONY RUSSO (M.D.) is 1366890410

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY RUSSO (M.D.)
NPI
1366890410
Phone
Not provided
Address
130 OAK TREE DR
Enumeration Date
31 May 2016
Last Update Date
20 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164445433
Graduation Year
2015 (11 years ago)
PAC ID
4789913930
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20190912002644
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for DR. ANTHONY RUSSO (M.D.)

  • 130, Oak Tree Drive, Canfield, Mahoning County, Ohio, 44406, United States

    CANFIELD, OH 444069295

    Phone:

    Type: Mailing

  • Northside Medical Center, 500, Gypsy Lane, Union Square, Youngstown, Mahoning County, Ohio, 44501, United States

    YOUNGSTOWN, OH 44501

    Phone: (330) 884-4250

    Fax: (330) 884-0651

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 261 Open Payments records for all available years, with a total value of $4,292.

Total Amount is formed as General ($4,292) + Research ($0) + Ownership ($0) = $4,292.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($820).

Total Amount

$4,292

General + Research + Ownership

Payments

261

Total payment records

General Amount

$4,292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2019-09-12

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
I20190912002644IInternal MedicineOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes668279$0
99214Established patient office or other outpatient visit, 30-39 minutes405154$0
99239Hospital discharge day management, more than 30 minutes144129$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes126117$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7777$0
View full utilization report →

Insurance plans in this area (ZIP 44406)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN

Reviews

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Frequently asked questions

What federal number belongs to DR. ANTHONY RUSSO (M.D.)?
The federal identifier for DR. ANTHONY RUSSO (M.D.) is NPI 1366890410.
Does this profile mean DR. ANTHONY RUSSO (M.D.) is currently active?
Yes — DR. ANTHONY RUSSO (M.D.) appears active in the national provider directory.
Does DR. ANTHONY RUSSO (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. ANTHONY RUSSO (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ANTHONY RUSSO (M.D.)?
The snapshot lists Canfield, Ohio for DR. ANTHONY RUSSO (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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