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MARINA K RUSSO MD
NPI 1174510978
Internal Medicine - Endocrinology, Diabetes & Metabolism in Springfield, IL

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1118 LEGACY POINTE DR, SPRINGFIELD, IL 62711(217) 787-8870(217) 787-6158 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marina K Russo Md NPPES

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

MARINA K RUSSO MD (NPI 1174510978) is an individual endocrinology, diabetes & metabolism provider in Springfield, Illinois, licensed in Illinois (036102799) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1174510978
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMARINA K RUSSOCredential: MD
Location Address1118 LEGACY POINTE DRSpringfield, IL 62711
Mailing Address1118 Legacy Pointe DrSpringfield, IL 62711 · (217) 787-8870 · Fax (217) 787-6158
Phone(217) 787-8870
Fax(217) 787-6158
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 5, 2005
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1174510978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in IL · 036102799
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1118 LEGACY POINTE DR, Springfield, IL 62711
Open in Google Maps ↗

Other Identifiers 6

Other020057300IL · Black Lung
Other6394PIL · Caterpillar
OtherCD7143IL · Rr Medicare Grp
Medicaid036102799IL
Other08421024IL · Blue Cross Blue Shield
Other14D0949277IL · Clia Cert

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.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

Marina K Russo Md 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 ID9830089556
PECOS Enrollment IDI20040317000621
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.

Medicare Billing Reassignment

Medicare enrollment records show Marina Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hshs Prairie, Inc
0.6 mi
Multi-Specialty
3051 HOLLIS DR
Springfield, IL 62704
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1962644807 (217) 523-5406

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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,140 services12 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.
514 services286 patients
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.
458 services293 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
386 services253 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
262 services139 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.
209 services173 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141354
Location200 S Cedar StShelbyville, IL 62565 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers61 claims803 services$18.30 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers60 claims1,895 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers39 claims39 services$167.90 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
65 suppliers329 claims1,233 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
29 suppliers72 claims126 services$1.01 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers45 claims45 services$299.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Marina Russo's NPI number?

The NPI number for Marina Russo is 1174510978. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Marina Russo located?

Marina Russo practices at 1118 Legacy Pointe Dr, Springfield, IL 62711. The listed phone number is (217) 787-8870.

What is Marina Russo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Marina Russo enrolled in Medicare?

Yes. Marina 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.

Which organization bills Medicare for Marina Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marina Russo reassigns Medicare benefits to Hshs Prairie, Inc (Springfield, IL). The 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 Marina Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marina Russo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Marina 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.

Is Marina Russo affiliated with any hospitals?

According to CMS data, Marina Russo is affiliated with St Johns Hospital, Decatur Memorial Hospital, St Marys Hospital, Jacksonville Memorial Hospital and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for Marina Russo was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.