HOLLY ANN EMILY RUSSELL M.D.
NPI 1013123389
Family Medicine in Rochester, NY
About Holly Ann Emily Russell M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY ANN EMILY RUSSELL M.D. (NPI 1013123389) is an individual family medicine provider in Rochester, New York, licensed in New York (257117-1) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Holly Ann Emily Russell M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Holly Ann Russell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14620
- Reassigned Medicare billing, New York enrollment
- 465 clinicians in this Medicare group
Rochester, NY 14607
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Highland Hospital
Acute Care Hospitals · Rochester, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14620
ROCHESTER, NY 14620
ROCHESTER, NY 14620
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Holly Ann Russell's NPI number?
The NPI number for Holly Ann Russell is 1013123389. It was assigned to this individual provider in the NPPES registry on May 15, 2007.
Where is Holly Ann Russell located?
Holly Ann Russell practices at 777 S Clinton Ave, Rochester, NY 14620. The listed phone number is (585) 279-4800.
What is Holly Ann Russell's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Holly Ann Russell enrolled in Medicare?
Yes. Holly Ann Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Holly Ann Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Ann Russell reassigns Medicare benefits to 3 organizations: Highland Hospital Of Rochester (Rochester, NY), Internal Medicine Group (Rochester, NY) and Delphi Drug & Alcohol Council, Inc (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Ann Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Holly Ann Russell affiliated with any hospitals?
According to CMS data, Holly Ann Russell is affiliated with Highland Hospital.
When was this NPI record last updated?
The NPPES record for Holly Ann Russell was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Holly Ann Emily Russell, M.D. · NPI 1013123389
Family Medicine physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since May 15, 2007.
## Identity
- **NPI:** 1013123389 (Entity type: Individual)
- **Enumerated:** May 15, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 257117-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 S CLINTON AVE, Rochester, NY 14620-1448
- **Phone:** (585) 279-4800 · **Fax:** (585) 442-8319
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Highland Hospital Of Rochester (NPI 1972548568, Rochester, NY); Internal Medicine Group (NPI 1184255176, Rochester, NY); Delphi Drug & Alcohol Council, Inc (NPI 1013130012, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Rochester School Of Medicine And Dentistry, class of 2007
## Record status
- **NPPES last updated:** September 23, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1013123389) · Data from the CMS NPPES public registry.