MARY C. RUSSELL MD
NPI 1154396778
Family Medicine in Concord, NC

Active since February 17, 2006PECOS Enrolled
95.35/100
CMS Quality Rating
301 MEDICAL PARK DR, STE 202B, CONCORD, NC 28025(704) 403-2626 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 15, 2024, Jul 3, 2024, May 4, 2023 and 58 more (61 updates tracked since 2018).

About Mary C. Russell Md NPPES

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

MARY C. RUSSELL MD (NPI 1154396778) is an individual family medicine provider in Concord, North Carolina, licensed in North Carolina (2010-00892) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154396778
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY C. RUSSELLCredential: MD
Location Address301 MEDICAL PARK DR, STE 202BConcord, NC 28025-2981
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 15, 202461 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1154396778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2010-00892
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 2010-00892 (NC)
301 MEDICAL PARK DR, Concord, NC 28025

Secondary Practice Locations 2

Location 112925 Highway 601, Ste 300Midland, NC 28107-9535 · Phone (704) 888-3702
Location 22608 E 7th St, Ste BCharlotte, NC 28204-4375 · Phone (704) 403-2626

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 (PECOS)

Mary C. Russell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services57 patients
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.
31 services29 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
21 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$185.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics (Developmental - Behavioral Pediatrics)
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Counselor (Mental Health)
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Nurse Practitioner
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Social Worker
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Nurse Practitioner (Psychiatric/Mental Health)
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Social Worker (Clinical)
301 MEDICAL PARK DR, SUITE 202-B
CONCORD, NC 28025
Nurse Practitioner
301 MEDICAL PARK DR, STE 202B
CONCORD, NC 28025
Specialist
301 MEDICAL PARK DR, NORTHEAST INTERNAL AND INTEGRATIVE MEDICINE
CONCORD, NC 28025

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 Mary Russell's NPI number?

The NPI number for Mary Russell is 1154396778. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Mary Russell located?

Mary Russell practices at 301 Medical Park Dr Ste 202B, Concord, NC 28025. The listed phone number is (704) 403-2626.

What is Mary Russell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Russell enrolled in Medicare?

Yes. Mary Russell is registered in the Medicare PECOS enrollment system.

What insurance does Mary Russell accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Russell was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.