DR. RUSSELL PUTNAM (MD) – Diagnostic Radiology Physician, NPI 1639173263

DR. RUSSELL PUTNAM (MD) is a healthcare provider. based in Austin, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. K0364 (TX). The NPI Number for DR. RUSSELL PUTNAM (MD) is 1639173263

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL PUTNAM (MD)
NPI
1639173263
Phone
(512) 795-5100
Address
12554 RIATA VISTA CIR
Enumeration Date
10 June 2005
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
5123467311
Graduation Year
1995 (31 years ago)
PAC ID
2163485558
Group Practice PAC ID
4880686179
Professional Enrollment ID
I20041106000135
Address ID
TX787455281AU2501XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for DR. RUSSELL PUTNAM (MD)

  • 12554, Riata Vista Circle, Apple, Austin, Travis County, Texas, 78727, United States

    AUSTIN, TX 787276431

    Phone: (512) 795-5100

    Fax: (512) 795-5122

    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)

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: 2004-11-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041106000135IDiagnostic RadiologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9585Injection, gadobutrol, 0.1 ml2,53532$0
70450Ct scan head or brain without contrast1,1361,102$0
72125Ct scan of upper spine without contrast419417$0
77080Dxa bone density measurement of hip, pelvis, spine343336$0
71046X-ray of chest, 2 views231219$0
View full utilization report →

Insurance plans in this area (ZIP 78727)

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Provider's Procedures

DR. RUSSELL PUTNAM (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880686179View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. RUSSELL PUTNAM (MD)'s NPI?
Yes. DR. RUSSELL PUTNAM (MD) is listed with NPI 1639173263 in the public NPI dataset.
Does CMS list DR. RUSSELL PUTNAM (MD) as active?
Yes — DR. RUSSELL PUTNAM (MD) is active in the NPI listing used on this page.
What is DR. RUSSELL PUTNAM (MD)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DR. RUSSELL PUTNAM (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RUSSELL PUTNAM (MD)?
DR. RUSSELL PUTNAM (MD)'s geographic hint is Austin, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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