DR. GABRIEL RUSSELL (OD) – Optometrist, NPI 1306323779
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,771 OPTOMETRY in PA
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Provider Addresses for DR. GABRIEL RUSSELL (OD)
169 GREENWOOD AVE APT A5
JENKINTOWN, PA 190462628
Phone: (336) 703-8865
Type: Mailing
3586, Aramingo Avenue, Tioga Park, Philadelphia, Philadelphia County, Pennsylvania, 19134, United States
PHILADELPHIA, PA 191344606
Phone: (215) 535-4264
Type: Location
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone: (703) 847-8899
Fax: (571) 223-6780
Type: Mailing
1044 AVALON PKWY
MCDONOUGH, GA 302537661
Phone: (770) 898-7078
Fax: (770) 898-7160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($120).
Total Amount
$151
General + Research + Ownership
Payments
8
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $120 |
| CooperVision Inc. | $31 |
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: 2021-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20181105001502 | I | Optometry | PA | TBD |
| I20210401000450 | I | Optometry | GA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 19046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | GA |
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