DR. W RANDALL RUSSELL (M.D.) – Surgery Physician, NPI 1104823475
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,999 GENERAL SURGERY in PA
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Provider Addresses for DR. W RANDALL RUSSELL (M.D.)
Lankenau Medical Center, 100, East Lancaster Avenue, Wynnewood, Lower Merion Township, Montgomery County, Pennsylvania, 19096, United States
SUITE 151 LANKENAU MOB EAST
WYNNEWOOD, PA 190963450
Phone: (484) 476-6492
Fax: (484) 476-8147
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 24 Open Payments records for all available years, with a total value of $472.
Total Amount is formed as General ($472) + Research ($0) + Ownership ($0) = $472.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Smith+Nephew, Inc. ($246).
Total Amount
$472
General + Research + Ownership
Payments
24
Total payment records
General Amount
$472
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $246 |
| TACTILE SYSTEMS TECHNOLOGY INC | $30 |
| ABBVIE INC. | $26 |
| Next Science LLC | $26 |
| Medtronic, Inc. | $26 |
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: 2007-12-27
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 |
|---|---|---|---|---|
| I20071227000518 | I | General Surgery | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,041 | 268 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 99 | $0 |
| 99183 | Management of oxygen chamber therapy | 87 | 11 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 83 | 83 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 55 | 55 | $0 |
Insurance plans in this area (ZIP 19096)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Family Practice | PA | |
| - | PA | |
| General Surgery | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Family Practice, Geriatric Medicine | PA |
Reviews
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