RAQUEL K RUSSO PA-C
NPI 1013545607
Physician Assistant in Chesterfield, MO

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
13353 OLIVE BLVD, CHESTERFIELD, MO 63017(636) 778-2900(636) 778-2828 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2025, Oct 6, 2022, Aug 16, 2022 and 2 more (5 updates tracked since 2020).

About Raquel K Russo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAQUEL K RUSSO PA-C (NPI 1013545607) is an individual physician assistant in Chesterfield, Missouri, licensed in Missouri (2022005794) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Saint Louis University School Of Medicine (2021).

NPPES Registry Identity

NPI1013545607
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRAQUEL K RUSSOCredential: PA-C
Location Address13353 OLIVE BLVDChesterfield, MO 63017-3108
Mailing Address13353 Olive BlvdChesterfield, MO 63017-3108 · (636) 778-2900 · Fax (636) 778-2828
Fax(636) 778-2828
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2021
Enumeration DateMarch 30, 2020
Last NPPES UpdateNovember 17, 20255 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
NPI 1013545607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2022005794
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

13353 OLIVE BLVD, Chesterfield, MO 63017

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Raquel K Russo Pa-c 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.

PECOS PAC ID8729475520
PECOS Enrollment IDI20220426001457
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Physical Therapist
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Orthopaedic Surgery (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Family Medicine (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017

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 Raquel Russo's NPI number?

The NPI number for Raquel Russo is 1013545607. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Raquel Russo located?

Raquel Russo practices at 13353 Olive Blvd, Chesterfield, MO 63017. The listed phone number is (636) 778-2900.

What is Raquel Russo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Raquel Russo enrolled in Medicare?

Yes. Raquel Russo 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.

What insurance does Raquel Russo accept?

Health plans from UnitedHealthcare list Raquel Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raquel Russo affiliated with any hospitals?

According to CMS data, Raquel Russo is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Raquel Russo was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.