DR. RUSSELL WITTER CAMPBELL (MD) – Vascular Surgery Physician, NPI 1104880160

DR. RUSSELL WITTER CAMPBELL (MD) is a healthcare provider. based in Newport news, Virginia. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 51819 (MT). The NPI Number for DR. RUSSELL WITTER CAMPBELL (MD) is 1104880160

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL WITTER CAMPBELL (MD)
NPI
1104880160
Phone
(757) 534-5340
Address
500 J Clyde Morris Blvd Ste 603
Enumeration Date
14 April 2006
Last Update Date
4 October 2022

Doctor Profile

Medical School Name
RUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
Secondary Phone
4342001800
Graduation Year
1982 (44 years ago)
PAC ID
7618920380
Group Practice PAC ID
4789606088
Professional Enrollment ID
I20060109001085
Address ID
VA245012148LY2410XRDXX300

Contacts

Secure Messaging
rcampbell1200841@wm.providencedirect.org
Secure Messaging
DEPTLHREVIntegrityHIMTechs@logan.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

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

CompanyAmount
Medtronic, Inc.$307
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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060109001085IVascular SurgeryVATBD

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.

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

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: 4789606088View full group profile
NameSpecialtyState
-VA
N E U R O L O G YMD
Internal MedicineVA
-VA
N E U R O S U R G E R YVA
Hospitalist, Family PracticeVA
Diagnostic RadiologyOH
Cardiac ElectrophysiologyVA
-SC
-VA

Reviews

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Frequently asked questions

Can I cross-check DR. RUSSELL WITTER CAMPBELL (MD) using NPI 1104880160?
NPI 1104880160 belongs to DR. RUSSELL WITTER CAMPBELL (MD); compare other details if you need extra assurance.
Would DR. RUSSELL WITTER CAMPBELL (MD) appear as active to a payer?
You can treat DR. RUSSELL WITTER CAMPBELL (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. RUSSELL WITTER CAMPBELL (MD)'s focus?
For DR. RUSSELL WITTER CAMPBELL (MD), the primary taxonomy reads as Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. RUSSELL WITTER CAMPBELL (MD) located near Newport News?
DR. RUSSELL WITTER CAMPBELL (MD) currently maps to Newport News, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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