MARK R RUSSELL (MD) – Diagnostic Radiology Physician, NPI 1053307223
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for MARK R RUSSELL (MD)
4300, North Access Road, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37415, United States
SUITE D
CHATTANOOGA, TN 374153812
Phone: (423) 826-1276
Fax: (423) 826-1290
Type: Mailing
Tennova Healthcare - Harton, 1801, North Jackson Street, Flowertown, Tullahoma, Coffee County, Middle Tennessee, Tennessee, 37388, United States
TULLAHOMA, TN 373882201
Phone: (931) 393-3000
Fax: (931) 393-7806
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone:
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372322201
Phone: (615) 322-3000
Type: Location
1801 N Jackson St
Tullahoma, TN 373882201
Phone: (931) 393-3000
Fax: (931) 393-7806
Type: Location
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: 2011-11-02
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 |
|---|---|---|---|---|
| I20111102000526 | I | Diagnostic Radiology | TN | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 702 | 514 | $0 |
| 77063 | Screening 3d breast mammography | 340 | 340 | $0 |
| 77067 | Screening mammography | 339 | 339 | $0 |
| 71046 | X-ray of chest, 2 views | 178 | 171 | $0 |
| 70450 | Ct scan head or brain without contrast | 160 | 148 | $0 |
Insurance plans in this area (ZIP 37415)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TN | 71250 | CT scan chest | 116 | 108 |
| DIAGNOSTIC RADIOLOGY | TN | 73562 | X-ray of knee, 3 views | 44 | 41 |
| DIAGNOSTIC RADIOLOGY | TN | 73630 | X-ray of foot, minimum of 3 views | 50 | 46 |
| DIAGNOSTIC RADIOLOGY | TN | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 13 | 12 |
| DIAGNOSTIC RADIOLOGY | TN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 69 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO |
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