DR. CHARLES E RUSSELL (MD) – Addiction Medicine (Preventive Medicine) Physician, NPI 1245220912
Addiction Medicine (Preventive Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. CHARLES E RUSSELL (MD)
PO BOX 31694
DAYTON, OH 454370694
Phone: (937) 718-7677
Fax: (937) 429-7441
Type: Mailing
579, Rustic Trail, Beavercreek, Greene County, Ohio, 45434, United States
BEAVERCREEK, OH 454347337
Phone: (937) 718-7677
Fax: (937) 429-7441
Type: Location
3195 DAYTON XENIA RD # 900-162
BEAVERCREEK, OH 454346390
Phone: (937) 718-7677
Type: Mailing
2611 WAYNE AVE
DAYTON, OH 454201833
Phone: (937) 256-7801
Fax: (937) 641-8517
Type: Location
415 S MAIN ST
WAYNESVILLE, OH 450689553
Phone: (513) 897-7162
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $227.
Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Braeburn Inc. ($123).
Total Amount
$227
General + Research + Ownership
Payments
6
Total payment records
General Amount
$227
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $123 |
| Indivior Inc. | $88 |
| Philips North America LLC | $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: 2018-03-15
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 |
|---|---|---|---|---|
| I20180315000606 | I | Addiction Medicine | OH | 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 45437)
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Reviews
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