TAYLOR RUSSELL DO
NPI 1164048146
Emergency Medicine in West Reading, PA

Active since June 25, 2020PECOS EnrolledAccepts Medicare Assignment
94.74/100
CMS Quality Rating
420 S 5TH AVE, WEST READING, PA 19611(484) 628-3529 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taylor Russell Do NPPES

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

TAYLOR RUSSELL DO (NPI 1164048146) is an individual emergency medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (OT019801) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164048146
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTAYLOR RUSSELLCredential: DO
Location Address420 S 5TH AVEWest Reading, PA 19611-2143
Mailing AddressPo Box 13579Reading, PA 19612-3579
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
NPI 1164048146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · OT019801
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
420 S 5TH AVE, West Reading, PA 19611

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

Taylor Russell Do 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 ID749604981
PECOS Enrollment IDI20230710003668
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
226 services217 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
107 services107 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
101 services100 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

94.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.58
Promoting Interoperability98
Improvement Activities40
Cost85.55

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.

Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611

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 Taylor Russell's NPI number?

The NPI number for Taylor Russell is 1164048146. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Taylor Russell located?

Taylor Russell practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-3529.

What is Taylor Russell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Taylor Russell enrolled in Medicare?

Yes. Taylor 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.

What insurance does Taylor Russell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Taylor 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 Taylor Russell affiliated with any hospitals?

According to CMS data, Taylor Russell is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Taylor Russell was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.