DR. PAUL H RUSSO (MD) – Family Medicine Physician, NPI 1164488458
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,050 FAMILY PRACTICE in WI
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Provider Addresses for DR. PAUL H RUSSO (MD)
305, East 12th Street, Kaukauna, Outagamie County, Wisconsin, 54130, United States
KAUKAUNA, WI 541302865
Phone: (920) 766-4656
Fax: (920) 766-4659
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Dexcom, Inc. ($41).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $41 |
| Novo Nordisk Inc | $16 |
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: 2010-05-24
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 |
|---|---|---|---|---|
| I20100524000036 | I | Family Practice | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 280 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 95 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 142 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 71 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 96 | 71 | $0 |
Insurance plans in this area (ZIP 54130)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| Family Practice | WI | |
| Physician Assistant | WI |
Reviews
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