DR. RUSSELL WITTER CAMPBELL (MD) – Vascular Surgery Physician, NPI 1104880160
Vascular Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
179 VASCULAR SURGERY in VA
Provider Addresses for DR. RUSSELL WITTER CAMPBELL (MD)
500 J Clyde Morris Blvd Ste 603
Newport News, VA 236011929
Phone: (757) 534-5340
Fax: (757) 594-3456
Type: Location
500 W Broadway St Ste 320
Missoula, MT 598024003
Phone: (406) 329-5615
Fax: (406) 329-2791
Type: Location
1333 Surgical Services Way
Kalispell, MT 599014844
Phone: (406) 751-5392
Fax: (406) 751-5406
Type: Location
856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States
SUITE A
NEWPORT NEWS, VA 236011318
Phone:
Type: Mailing
Strawberry Plains Road, Canterbury Hills, New Town, Williamsburg, James City County, Virginia, 23188, United States
SUITE A
WILLIAMSBURG, VA 231883409
Phone: (757) 229-7939
Fax: (757) 229-7897
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $307.
Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.
Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Medtronic, Inc. ($307).
Total Amount
$307
General + Research + Ownership
Payments
2
Total payment records
General Amount
$307
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $307 |
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: 2006-01-09
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 |
|---|---|---|---|---|
| I20060109001085 | I | Vascular Surgery | VA | 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 23601)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| N E U R O L O G Y | MD | |
| Internal Medicine | VA | |
| - | VA | |
| N E U R O S U R G E R Y | VA | |
| Hospitalist, Family Practice | VA | |
| Diagnostic Radiology | OH | |
| Cardiac Electrophysiology | VA | |
| - | SC | |
| - | VA |
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