DR. MICHAEL EDWARD II RUSSELL (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1720076052

DR. MICHAEL EDWARD II RUSSELL (MD) is a healthcare provider. based in Nacogdoches, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. J2290 (TX). The NPI Number for DR. MICHAEL EDWARD II RUSSELL (MD) is 1720076052

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL EDWARD II RUSSELL (MD)
NPI
1720076052
Phone
(903) 939-7500
Address
3816 N University Dr
Enumeration Date
11 October 2005
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9039397500
Graduation Year
1991 (35 years ago)
PAC ID
0042244915
Group Practice PAC ID
9931529062
Professional Enrollment ID
I20100715000364
Address ID
TX759652011NA3816XDRXX400
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

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for DR. MICHAEL EDWARD II RUSSELL (MD)

  • 3816 N University Dr

    Nacogdoches, TX 759652011

    Phone: (903) 939-7500

    Type: Location

  • PO BOX 130189

    TYLER, TX 757130189

    Phone: (903) 939-7500

    Fax: (903) 939-7728

    Type: Mailing

  • 305 W 20th St

    MT Pleasant, TX 754552327

    Phone: (903) 939-7500

    Type: Location

  • 3414, Golden Road, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757018336

    Phone: (903) 939-7500

    Fax: (903) 939-7728

    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 $809.

Total Amount is formed as General ($809) + Research ($0) + Ownership ($0) = $809.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Stryker Corporation ($335).

Total Amount

$809

General + Research + Ownership

Payments

8

Total payment records

General Amount

$809

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-07-15

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
I20100715000364IOrthopedic SurgeryTXTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month818133$0
99213Established patient office or other outpatient visit, 20-29 minutes228184$0
72100X-ray of lower and sacral spine, 2-3 views226165$0
99214Established patient office or other outpatient visit, 30-39 minutes187161$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion13879$0
View full utilization report →

Insurance plans in this area (ZIP 75965)

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Provider's Procedures

DR. MICHAEL EDWARD II RUSSELL (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments5252

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: 9931529062View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerLA
P O D I A T R YTX
Physician AssistantTX
Physician AssistantTX
Hand Surgery, Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerTX

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Frequently asked questions

What identifier follows DR. MICHAEL EDWARD II RUSSELL (MD) across health systems?
The NPI 1720076052 uniquely identifies DR. MICHAEL EDWARD II RUSSELL (MD) in U.S. healthcare data.
Quick check: is DR. MICHAEL EDWARD II RUSSELL (MD) active?
Public NPPES data shows DR. MICHAEL EDWARD II RUSSELL (MD) with an active NPI status right now.
What does the directory say DR. MICHAEL EDWARD II RUSSELL (MD) does?
Insurance directories may phrase it differently, but here DR. MICHAEL EDWARD II RUSSELL (MD) maps to Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL EDWARD II RUSSELL (MD) tied to Nacogdoches, Texas?
If you are local to Nacogdoches, Texas, DR. MICHAEL EDWARD II RUSSELL (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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