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DR. SAM NICHOLAS RUSSO M.D.
NPI 1023468733
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Houston, TX

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6410 FANNIN ST, SUITE 500, HOUSTON, TX 77030(832) 325-6516(713) 512-2248 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2024, May 19, 2022, Jul 12, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Sam Nicholas Russo M.d. NPPES

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

DR. SAM NICHOLAS RUSSO M.D. (NPI 1023468733) is an individual neurology with special qualifications in child neurology provider in Houston, Texas, licensed in Texas (R5931) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023468733
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. SAM NICHOLAS RUSSOCredential: M.D.
Location Address6410 FANNIN ST, SUITE 500Houston, TX 77030-3000
Mailing Address6410 Fannin St, Suite 500Houston, TX 77030-3000 · (832) 325-6516 · Fax (713) 512-2248
Phone(832) 325-6516
Fax(713) 512-2248
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 14, 2016
Last NPPES UpdateOctober 22, 20254 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1023468733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in TX · R5931
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
6410 FANNIN ST, Houston, TX 77030
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Other Names 1

Other Name (5)Dr. S. Nick Russo M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.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

Dr. Sam Nicholas Russo 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.

PECOS PAC ID8224430467
PECOS Enrollment IDI20210712001463
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 20

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

EUGENIO A AGUILAR III MD PA
Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Harris County (713) 797-0085
BELANIE G PEAVY ACNP
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (832) 325-7125
DR. NIVEDITA THAKUR M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Harris County (713) 500-7113
AMBER CHEN-GOODSPEED
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 462-3983
OLASUNKANMI ADEYINKA M.D.
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Harris County (832) 325-6500
KEVIN P LALLY M.D.
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030
Harris County (832) 325-7234
DIANE M NOVY PH.D.
Psychologist
6410 FANNIN ST, 230
HOUSTON, TX 77030
Harris County (713) 704-3961
RAFAEL C BOTERO M.D.
Internal Medicine (Hepatology)
6410 FANNIN ST, 370
HOUSTON, TX 77030
Harris County (713) 704-6800

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 Sam Russo's NPI number?

The NPI number for Sam Russo is 1023468733. It was assigned to this individual provider in the NPPES registry on June 14, 2016. The provider is also known as Dr. S. Nick Russo M.D..

Where is Sam Russo located?

Sam Russo practices at 6410 Fannin St Suite 500, Houston, TX 77030. The listed phone number is (832) 325-6516.

What is Sam Russo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Sam Russo enrolled in Medicare?

Yes. Sam 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 Sam Russo accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Sam 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.

When was this NPI record last updated?

The NPPES record for Sam Russo was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.