DR. RICHARD F RUSSO (MD) – Family Medicine Physician, NPI 1356425037

DR. RICHARD F RUSSO (MD) is a healthcare provider. based in South jordan, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 75640 (FL). The NPI Number for DR. RICHARD F RUSSO (MD) is 1356425037

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD F RUSSO (MD)
NPI
1356425037
Phone
(801) 352-9500
Address
PO BOX 95590
Enumeration Date
25 October 2006
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502086130
Graduation Year
1987 (39 years ago)
PAC ID
3870489446
Group Practice PAC ID
6406741297
Professional Enrollment ID
I20100730000850
Address ID
FL325048919PE5100XAVEX436
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. RICHARD F RUSSO (MD)

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone: (801) 352-9500

    Type: Mailing

  • 5100 N 12TH AVE STE 101

    PENSACOLA, FL 325048919

    Phone: (850) 208-6160

    Type: Location

  • Airport Boulevard, Arbor Club Apartments, Pensacola, Escambia County, Florida, 32504, United States

    PENSACOLA, FL 325052254

    Phone: (859) 475-3726

    Type: Mailing

  • Brookdale Pensacola, University Parkway, The Lorient, Ferry Pass, Escambia County, Florida, 32514, United States

    PENSACOLA, FL 325145752

    Phone: (850) 208-6130

    Fax: (850) 208-6139

    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: 2010-07-30

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
I20100730000850IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes853728$0
J1100Injection, dexamethasone sodium phosphate, 1 mg14533$0
81003Automated urinalysis test138125$0
96372Injection of drug or substance under skin or into muscle10292$0
99204New patient office or other outpatient visit, 45-59 minutes9393$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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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: 6406741297View full group profile

Reviews

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Frequently asked questions

How is DR. RICHARD F RUSSO (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. RICHARD F RUSSO (MD) with NPI 1356425037.
Is DR. RICHARD F RUSSO (MD) listed as active for patients and plans?
The listing shows DR. RICHARD F RUSSO (MD) as active in the NPI system.
What is DR. RICHARD F RUSSO (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DR. RICHARD F RUSSO (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. RICHARD F RUSSO (MD) based?
DR. RICHARD F RUSSO (MD) is tied to South Jordan, Utah in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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