T. JEFF RUSSELL, M.D., P.A
NPI 1063534758
Ophthalmology in Dallas, TX
About T. Jeff Russell, M.d., P.a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
T. JEFF RUSSELL, M.D., P.A (NPI 1063534758) is a healthcare organization registered as an ophthalmology in Dallas, Texas and active in the NPI registry since April 2007. The organization lists Kimberly Kitcher, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
T. Jeff Russell, M.d., P.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to T. Jeff Russell, M.D., P.A, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 T. Jeff Russell, M.D., P.A's NPI number?
The NPI number for T. Jeff Russell, M.D., P.A is 1063534758. It was assigned to this organization in the NPPES registry on April 4, 2007.
Where is T. Jeff Russell, M.D., P.A located?
T. Jeff Russell, M.D., P.A is located at 2801 Lemmon Ave West Suite 310, Dallas, TX 75204. The listed phone number is (214) 522-2661.
What is T. Jeff Russell, M.D., P.A's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is T. Jeff Russell, M.D., P.A enrolled in Medicare?
Yes. T. Jeff Russell, M.D., P.A is registered in the Medicare PECOS enrollment system.
When is T. Jeff Russell, M.D., P.A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through T. Jeff Russell, M.D., P.A?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to T. Jeff Russell, M.D., P.A. A 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 the clinician's services. The largest specialties are Ophthalmology (3) and Optometry (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for T. Jeff Russell, M.D., P.A was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# T. Jeff Russell, M.d., P.a · NPI 1063534758
Ophthalmology organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since April 4, 2007.
## Identity
- **NPI:** 1063534758 (Entity type: Organization)
- **Enumerated:** April 4, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Kitcher, CREDENTIALING
## Practice location
- **Address:** 2801 LEMMON AVE WEST, SUITE 310, Dallas, TX 75204
- **Phone:** (214) 522-2661 · **Fax:** (214) 522-5469
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (3), Optometry (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2008
- **Other identifiers:** Other 180041912 (TX); Medicare ID-Type Unspecified 00209R (TX); Medicare UPIN B64853 (TX); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1063534758) · Data from the CMS NPPES public registry.