DR. NATHANIEL DUANE RUSSELL (MD) – Family Medicine Physician, NPI 1740401470

DR. NATHANIEL DUANE RUSSELL (MD) is a healthcare provider. based in Blacklick, Ohio. specializing in HOSPITALIST, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35.082556 (OH). The NPI Number for DR. NATHANIEL DUANE RUSSELL (MD) is 1740401470

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHANIEL DUANE RUSSELL (MD)
NPI
1740401470
Phone
(614) 420-6344
Address
972 POPPY HILLS DR
Enumeration Date
1 May 2007
Last Update Date
20 May 2011

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
6148984000
Graduation Year
1997 (29 years ago)
PAC ID
6709976806
Group Practice PAC ID
3779749197
Professional Enrollment ID
I20071213000019
Address ID
OH430818971WE500XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,565 HOSPITALIST in OH

Provider Addresses for DR. NATHANIEL DUANE RUSSELL (MD)

  • 972 POPPY HILLS DR

    BLACKLICK, OH 430048125

    Phone: (614) 420-6344

    Fax: (614) 759-6281

    Type: Mailing

  • 750 MOUNT CARMEL MALL

    COLUMBUS, OH 432221553

    Phone: (614) 224-6420

    Fax: (614) 224-6423

    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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Mylan Specialty L.P. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mylan Specialty L.P.$24
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: 2007-12-13

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
I20071213000019IHospitalistOHTBD

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 minutes437134$0
99239Hospital discharge day management, more than 30 minutes7168$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4730$0
View full utilization report →

Insurance plans in this area (ZIP 43004)

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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: 3779749197View full group profile
NameSpecialtyState
-IN
Hospitalist, Internal MedicineOH
Internal MedicineCA
-OH
Nurse PractitionerOH
Internal Medicine, Hospitalist, Internal MedicineWA
Internal MedicineMN
Hospitalist, Internal MedicineOH
H O S P I T A L I S TOH
Internal MedicineOH

Reviews

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Frequently asked questions

What NPI should I save for DR. NATHANIEL DUANE RUSSELL (MD)?
Save NPI 1740401470 if you need a stable reference for DR. NATHANIEL DUANE RUSSELL (MD).
Is DR. NATHANIEL DUANE RUSSELL (MD)'s NPI currently valid?
The extract we use shows DR. NATHANIEL DUANE RUSSELL (MD) as active.
Can you summarize DR. NATHANIEL DUANE RUSSELL (MD)'s specialty in plain language?
Clinically, the directory lists DR. NATHANIEL DUANE RUSSELL (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. NATHANIEL DUANE RUSSELL (MD)'s primary listing?
We display Blacklick, Ohio because that is what the record indicates for DR. NATHANIEL DUANE RUSSELL (MD).
Is DR. NATHANIEL DUANE RUSSELL (MD) a real provider?
This page reflects official NPPES data for NPI 1740401470. Always confirm identity and privileges with the practice and licensing boards.

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