DR. RUSSELL B HARRISON (MD) – Family Medicine Physician, NPI 1164409173

DR. RUSSELL B HARRISON (MD) is a healthcare provider. based in Pendleton, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 23092 (NE). The NPI Number for DR. RUSSELL B HARRISON (MD) is 1164409173

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL B HARRISON (MD)
NPI
1164409173
Phone
(541) 276-1700
Address
1600 SE COURT PL
Enumeration Date
30 December 2005
Last Update Date
29 June 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
5412151564
Graduation Year
2003 (23 years ago)
PAC ID
7315096047
Group Practice PAC ID
1850530841
Professional Enrollment ID
I20090617000600
Address ID
OR978012039PE702XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for DR. RUSSELL B HARRISON (MD)

  • Southeast Court Place, Pendleton, Umatilla County, Oregon, 97801, United States

    SUITE 201

    PENDLETON, OR 97801

    Phone: (541) 276-1700

    Fax: (541) 276-6327

    Type: Location

  • PO BOX 190

    PENDLETON, OR 97801

    Phone: (541) 276-1700

    Fax: (541) 276-6327

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-06-17

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
I20090617000600IFamily PracticeORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes645362$0
99214Established patient office or other outpatient visit, 30-39 minutes381217$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit315315$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8915$0
99496Transitional care management services for problem of high complexity4035$0
View full utilization report →

Insurance plans in this area (ZIP 97801)

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Provider's Procedures

DR. RUSSELL B HARRISON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOR81002Urinalysis, manual test1615

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: 1850530841View full group profile
NameSpecialtyState
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What is the standard ID for DR. RUSSELL B HARRISON (MD) in the U.S.?
In the U.S., DR. RUSSELL B HARRISON (MD) is identified by NPI 1164409173.
Should I treat DR. RUSSELL B HARRISON (MD) as an active provider?
Patients and plans typically see DR. RUSSELL B HARRISON (MD) as active in the national extract.
How should patients interpret DR. RUSSELL B HARRISON (MD)'s specialty?
The extract shows Family Medicine Physician for DR. RUSSELL B HARRISON (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. RUSSELL B HARRISON (MD)?
DR. RUSSELL B HARRISON (MD) shows a connection to Pendleton, Oregon in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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