DR. RUSSELL LEWIS GOMBOSI (MD) – Internal Medicine Physician, NPI 1528078433
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
Provider Addresses for DR. RUSSELL LEWIS GOMBOSI (MD)
3155 LYCOMING CREEK RD
WILLIAMSPORT, PA 177011032
Phone: (570) 651-9263
Fax: (570) 651-9773
Type: Mailing
Grampian Boulevard, Grampian Hills, Williamsport, Lycoming County, Pennsylvania, 17701, United States
WILLIAMSPORT, PA 177011900
Phone:
Type: Mailing
32, Central Avenue, Wellsboro, Tioga County, Pennsylvania, 16901, United States
WELLSBORO, PA 169011840
Phone: (570) 723-0119
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 150 Open Payments records for all available years, with a total value of $2,787.
Total Amount is formed as General ($2,787) + Research ($0) + Ownership ($0) = $2,787.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($446).
Total Amount
$2,787
General + Research + Ownership
Payments
150
Total payment records
General Amount
$2,787
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $446 |
| HARMONY BIOSCIENCES LLC | $309 |
| AstraZeneca Pharmaceuticals LP | $258 |
| Axsome Therapeutics, Inc. | $153 |
| Dexcom, Inc. | $118 |
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: 2004-05-04
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 |
|---|---|---|---|---|
| I20040504000814 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,620 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 524 | 270 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 444 | 280 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 202 | 202 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 182 | 182 | $0 |
Insurance plans in this area (ZIP 17701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | PA | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 70 | 67 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Medical Oncology | PA | |
| Nurse Practitioner | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Medical Oncology | PA |
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