DR. KURT RUSSELL (O.D.) – Corneal and Contact Management Optometrist, NPI 1710100532

DR. KURT RUSSELL (O.D.) is a healthcare provider. based in Kirkland, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3800 (WA). The NPI Number for DR. KURT RUSSELL (O.D.) is 1710100532

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KURT RUSSELL (O.D.)
NPI
1710100532
Phone
Not provided
Address
13024 NE 121ST LN
Enumeration Date
10 April 2007
Last Update Date
6 March 2014

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5098937574
Graduation Year
2001 (25 years ago)
PAC ID
8426294281
Group Practice PAC ID
2163323841
Professional Enrollment ID
I20130423000444
Address ID
WA990195242LI22011DRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for DR. KURT RUSSELL (O.D.)

  • 13024 NE 121ST LN

    APT. H-406

    KIRKLAND, WA 980348045

    Phone:

    Type: Mailing

  • 15808 MILL CREEK BLVD

    SUITE 110

    MILL CREEK, WA 980121500

    Phone: (425) 745-5650

    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 $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alcon Vision LLC ($51).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$51
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: 2013-04-23

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
I20130423000444IOptometryWATBD

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
92014Established patient complete exam of visual system3838$0
99213Established patient office or other outpatient visit, 20-29 minutes3726$0
92250Photography of the retina3129$0
92004New patient complete exam of visual system2222$0
92134Imaging of retina2120$0
View full utilization report →

Insurance plans in this area (ZIP 98034)

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Provider's Procedures

DR. KURT RUSSELL (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWA92012Eye and medical examination for diagnosis and treatment, established patient3425
OPTOMETRYWA92083Measurement of field of vision during daylight conditions1311
OPTOMETRYWA92134Diagnostic imaging of retina1211

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: 2163323841View full group profile
NameSpecialtyState
-ID
O P T O M E T R YWA

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Frequently asked questions

Where can patients find DR. KURT RUSSELL (O.D.)'s NPI?
You can confirm DR. KURT RUSSELL (O.D.) with NPI 1710100532; it appears in the national provider directory.
Is DR. KURT RUSSELL (O.D.) currently active in the NPI registry?
CMS-published data lists DR. KURT RUSSELL (O.D.) as an active registrant.
Can you summarize DR. KURT RUSSELL (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. KURT RUSSELL (O.D.) with Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KURT RUSSELL (O.D.)?
The page summarizes Kirkland, Washington for DR. KURT RUSSELL (O.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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