JOSEPH THOMAS RUSSELL (DO) – Family Medicine Physician, NPI 1053811273
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for JOSEPH THOMAS RUSSELL (DO)
4200 BRIDGEVIEW DR APT 1538
FT WORTH, TX 761099576
Phone: (214) 797-3333
Type: Mailing
504 LIPSCOMB ST
BONHAM, TX 754184028
Phone: (903) 583-8585
Type: Mailing
Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States
TULSA, OK 741279020
Phone: (918) 599-1000
Type: Location
809 GALLAGHER DR STE D
SHERMAN, TX 750901754
Phone: (214) 797-3333
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-10-08
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 |
|---|---|---|---|---|
| I20230706000706 | I | Family Practice | OK | TBD |
| I20251008004345 | I | Family Practice | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76109)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Peripheral Vascular Disease | TX | |
| Emergency Medicine | OH | |
| Emergency Medicine | TX | |
| Family Practice | OK | |
| Family Practice, Emergency Medicine | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Family Practice | TX | |
| Family Practice | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.