DR. TIMOTHY GLENN RUSSELL M.D.
NPI 1073937132
Radiology - Diagnostic Radiology in Fort Campbell, KY
About Dr. Timothy Glenn Russell M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY GLENN RUSSELL M.D. (NPI 1073937132) is an individual diagnostic radiology provider in Fort Campbell, Kentucky, licensed in Mississippi (28048) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Dr. Timothy Glenn 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
23Medicare enrollment records show Timothy Russell reassigns Medicare billing to 23 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 156 clinicians in this Medicare group
Owensboro, KY 42303
- Reassigned Medicare billing, Tennessee enrollment
- 14 clinicians in this Medicare group
Corinth, MS 38834
- Reassigned Medicare billing, Mississippi enrollment
- 581 clinicians in this Medicare group
Tupelo, MS 38804
- Reassigned Medicare billing, Mississippi enrollment
- 25 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 24 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Alabama, Mississippi and Tennessee enrollments
- 20 clinicians in this Medicare group
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 30 clinicians in this Medicare group
Senatobia, MS 38668
- Reassigned Medicare billing, Mississippi enrollment
- 40 clinicians in this Medicare group
Aberdeen, MS 39730
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1285164046 (Mississippi)
- 168 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Tennessee enrollment
- 2 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.
Areas of Expertise CMS Part B claims 23
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital
Acute Care Hospitals · Belleville, ILTishomingo Health Services Inc
Acute Care Hospitals · Iuka, MSNorth Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSWebster General Hospital/ Swing Bed
Acute Care Hospitals · Eupora, MSNorth Mississippi Medical Center-Gilmore Amory
Acute Care Hospitals · Amory, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42223 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
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 Timothy Russell's NPI number?
The NPI number for Timothy Russell is 1073937132. It was assigned to this individual provider in the NPPES registry on February 10, 2014.
Where is Timothy Russell located?
Timothy Russell practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8768.
What is Timothy Russell's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Timothy Russell enrolled in Medicare?
Yes. Timothy 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 Timothy Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Russell reassigns Medicare benefits to 23 organizations: Adi Radiology PC (Franklin, TN), Louisville Radiology Imaging Consultants, PLLC (Owensboro, KY), North Mississippi Medical Center, Inc. (Corinth, MS), Medical Imaging, LLC (Tupelo, MS), Imaging Center At Gloster Creek Village PLLC (Tupelo, MS) and 18 more organizations, listed in the Medicare section above. 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 Timothy Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Russell accept?
Health plans from Blue Cross and Blue Shield of Alabama, CareSource, Cigna Healthcare, HMO Louisiana and Molina Healthcare and 3 other insurers list Timothy Russell 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 Timothy Russell affiliated with any hospitals?
According to CMS data, Timothy Russell is affiliated with Memorial Hospital, Tishomingo Health Services Inc, North Mississippi Medical Center, Webster General Hospital/ Swing Bed and North Mississippi Medical Center-Gilmore Amory.
When was this NPI record last updated?
The NPPES record for Timothy Russell was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.
# Dr. Timothy Glenn Russell, M.D. · NPI 1073937132
Diagnostic Radiology physician in Fort Campbell, Kentucky. Individual provider, active in the CMS NPPES registry since February 10, 2014.
## Identity
- **NPI:** 1073937132 (Entity type: Individual)
- **Enumerated:** February 10, 2014
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 28048 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 JOEL DR, Fort Campbell, KY 42223-5318
- **Phone:** (270) 798-8768
## 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:** 23 organizations under Medicare reassignment (form CMS-855R): Adi Radiology PC (NPI 1083266761, Franklin, TN); Louisville Radiology Imaging Consultants, PLLC (NPI 1639115447, Owensboro, KY); North Mississippi Medical Center, Inc. (NPI 1366036253, Corinth, MS); Medical Imaging, LLC (NPI 1316075864, Tupelo, MS); Imaging Center At Gloster Creek Village PLLC (NPI 1417907536, Tupelo, MS); and 18 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 2014
## Record status
- **NPPES last updated:** September 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073937132) · Data from the CMS NPPES public registry.