DR. LAKEYA CHARRON RUSSELL (M.D.) – Obstetrics & Gynecology Physician, NPI 1376806976
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,818 OBSTETRICS/GYNECOLOGY in OH
Provider Addresses for DR. LAKEYA CHARRON RUSSELL (M.D.)
1103 VILLAGE SQUARE DR
SUITE 101
PERRYSBURG, OH 435511783
Phone: (419) 872-8443
Fax: (419) 872-3208
Type: Mailing
PO BOX 986
OXFORD, NC 275650986
Phone: (919) 690-3487
Fax: (919) 690-3213
Type: Mailing
1103 Village Square Dr
Suite 101
Perrysburg, OH 435511783
Phone: (419) 872-8443
Fax: (419) 872-3208
Type: Location
110 PROFESSIONAL PARK
OXFORD, NC 275652576
Phone: (919) 693-6541
Fax: (919) 693-7396
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Minerva Surgical, Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Minerva Surgical, Inc | $15 |
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: 2021-07-09
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 |
|---|---|---|---|---|
| I20210709000214 | I | Obstetrics/Gynecology | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43551)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| - | NC | |
| P S Y C H I A T R Y | NC | |
| Family Practice | TX | |
| Physician Assistant | NC | |
| - | NC | |
| Family Practice | NC | |
| Nurse Practitioner | NC | |
| Family Practice | NC | |
| Internal Medicine | IN |
Reviews
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