JEREMY W RUSSELL (D.O.) – Orthopaedic Surgery Physician, NPI 1376756924

JEREMY W RUSSELL (D.O.) is a healthcare provider. based in Wausau, Wisconsin. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. 55775 (WI). The NPI Number for JEREMY W RUSSELL (D.O.) is 1376756924

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY W RUSSELL (D.O.)
NPI
1376756924
Phone
(715) 907-0900
Address
3901 STEWART AVE
Enumeration Date
8 May 2007
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
7159070900
Graduation Year
2005 (21 years ago)
PAC ID
1153599006
Group Practice PAC ID
4981679552
Professional Enrollment ID
I20110719000697
Address ID
WI544013948WA3901XAVEX300

Contacts

Secure Messaging
jeremy.russell.1@16843.direct.athenahealth.com
Secure Messaging
Jeremy.Russell@orthoassocwau.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

628 ORTHOPEDIC SURGERY in WI

Provider Addresses for JEREMY W RUSSELL (D.O.)

  • 3901 STEWART AVE

    WAUSAU, WI 544013948

    Phone: (715) 907-0900

    Fax: (715) 803-6977

    Type: Location

  • Spine & Neurosciences Institute, 3200, Westhill Drive, Wausau, Marathon County, Wisconsin, 54401, United States

    SUITE 201

    WAUSAU, WI 544014705

    Phone: (715) 847-2382

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,684.

Total Amount is formed as General ($1,684) + Research ($0) + Ownership ($0) = $1,684.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,175).

Total Amount

$1,684

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,684

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

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: 2011-07-19

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
I20110719000697IOrthopedic SurgeryWITBD

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
73562X-ray of knee, 3 views14884$0
99213Established patient office or other outpatient visit, 20-29 minutes12894$0
99214Established patient office or other outpatient visit, 30-39 minutes11094$0
73502X-ray of hip, 2-3 views9768$0
20610Aspiration and/or injection of fluid from large joint9560$0
View full utilization report →

Insurance plans in this area (ZIP 54401)

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Provider's Procedures

JEREMY W RUSSELL (D.O.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYWI20610Aspiration and/or injection of large joint or joint capsule8345

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: 4981679552View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryWI
-WI
Physician AssistantWI
Physician AssistantWI
Orthopedic SurgeryPA
Physical Therapist In Private PracticeWI
-WI
Physician AssistantWI
Physical Therapist In Private PracticeWI
Occupational Therapist In Private PracticeWI

Reviews

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Frequently asked questions

How do I look up JEREMY W RUSSELL (D.O.) by NPI?
Use NPI 1376756924 when you need to reference JEREMY W RUSSELL (D.O.) in forms, claims, or directories.
Is JEREMY W RUSSELL (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JEREMY W RUSSELL (D.O.)?
The page reflects Orthopaedic Surgery Physician for JEREMY W RUSSELL (D.O.). Clinical services aligned with this taxonomy classification.
Where is JEREMY W RUSSELL (D.O.)'s primary listing?
We display Wausau, Wisconsin because that is what the record indicates for JEREMY W RUSSELL (D.O.).
What if Wausau, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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