MR. MICHAEL D RUSSELL PT,DPT, CSCS
NPI 1003012980
Physical Therapist in Henderson, NV

NPI Status: Active since June 26, 2007

Contact Information

3005 W HORIZON RIDGE PKWY STE 101
HENDERSON, NV
ZIP 89052
Phone: (702) 840-2500
Fax: (725) 234-1515

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  • Individual
  • Male
  • Years of Experience 17
  • Physical Therapist
  • Accepts Medicare Approved Payment

About MICHAEL RUSSELL

Michael Russell is a provider established in Henderson, Nevada and his medical specialization is Physical Therapist with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1003012980 assigned on June 2007. The practitioner's primary taxonomy code is 225100000X with license number 2143 (NV). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1003012980
Provider Name
MR. MICHAEL D RUSSELL PT,DPT, CSCS
Gender
Male
Entity Type
Individual
Location Address
3005 W HORIZON RIDGE PKWY STE 101 HENDERSON, NV 89052
Location Phone
(702) 840-2500
Location Fax
(725) 234-1515
Mailing Address
3005 W HORIZON RIDGE PKWY STE 101 HENDERSON, NV 89052
Mailing Phone
(702) 840-2500
Mailing Fax
(725) 234-1515
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
06-26-2007
Last Update Date
07-06-2022
Code Navigator

Michael Russell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.17 for a new patient copayment and $18.78 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2143
License State
NV
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Orthopedic

2143 (NV)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arizona Complete Health

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
    • Elite Bronze - HMO
    • Elite Bronze + Vision + Adult Dental - HMO
    • Elite Gold - HMO
    • Elite Gold + Vision + Adult Dental - HMO
    • Everyday Bronze - HMO
    • Everyday Bronze + Vision + Adult Dental - HMO
    • Everyday Silver - HMO
    • Everyday Silver + Vision + Adult Dental - HMO
    • Focused Silver - HMO
    • Focused Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2365535754

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070830000187

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 89052 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $60.19
  • Maximum New Patient Price $183.01
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $15.04
  • Maximum New Patient Copayment $45.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.13
  • Minimum Established Patient Price $18.54
  • Maximum Established Patient Price $149
  • Average Established Patient Copayment $18.78
  • Minimum Established Patient Copayment $4.63
  • Maximum Established Patient Copayment $37.25

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 1846

    Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)

  • 929

    Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)

  • 199

    Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)

  • 68

    Evaluation of physical therapy, typically 20 minutes (HCPCS:97161)

  • 65

    Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)

  • 31

    Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)

Reviews for MR. MICHAEL D RUSSELL PT,DPT, CSCS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003012980
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003014916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 9 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003012980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205934668HENDERSON PHYSICAL THERAPY LTD.
Organization
Specialist3005 W HORIZON RIDGE PKWY STE 101
HENDERSON, NV 89052
(702) 840-2500
1306573498ELEVATION PHYSICAL THERAPY, LLC
Organization
Specialist3005 W HORIZON RIDGE PKWY STE 101
HENDERSON, NV 89052
(702) 840-2500
1730963331 TANNER OLSEN DPT
Individual
Physical Therapist3005 W HORIZON RIDGE PKWY STE 101
HENDERSON, NV 89052
(702) 840-2500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012980, enumerated in the NPI registry as an "individual" on June 26, 2007

The provider is located at 3005 W Horizon Ridge Pkwy Ste 101 Henderson, Nv 89052 and the phone number is (702) 840-2500

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has more than 17 years of experience.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $75.13 and an average copayment of 18.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Manual (physical) therapy techniques to 1 or more regions, each 15 minutes, Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes, Evaluation of physical therapy, typically 20 minutes, Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes and Evaluation of physical therapy, typically 30 minutes.

This NPI record was last updated on June 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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