DR. DIANE M RUSSO OD
NPI 1174839146
Optometrist in Dorchester, MA

Active since August 27, 2010PECOS EnrolledAccepts Medicare Assignment
637 WASHINGTON ST, DORCHESTER, MA 02124(617) 825-9660(617) 288-7898 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Diane M Russo Od NPPES

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

DR. DIANE M RUSSO OD (NPI 1174839146) is an individual optometrist in Dorchester, Massachusetts, licensed in Massachusetts (4926) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2010).

NPPES Registry Identity

NPI1174839146
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DIANE M RUSSOCredential: OD
Location Address637 WASHINGTON STDorchester, MA 02124-3510
Mailing Address637 Washington StDorchester, MA 02124-3510 · (617) 825-9660 · Fax (617) 288-7898
Fax(617) 288-7898
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2010
Enumeration DateAugust 27, 2010
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
NPI 1174839146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MA · 4926 Licensed in CT · 002810
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

637 WASHINGTON ST, Dorchester, MA 02124

Other Identifiers 1

Medicaid110101577AMA

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

Dr. Diane M Russo Od 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 ID345558920
PECOS Enrollment IDI20150930003139
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02124 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
637 WASHINGTON ST
BOSTON, MA 02124
Student in an Organized Health Care Education/Training Program
637 WASHINGTON ST
DORCHESTER, MA 02124
Family Medicine
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Nurse Practitioner (Family)
637 WASHINGTON ST
BOSTON, MA 02124
Social Worker
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Social Worker
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Nurse Practitioner (Family)
637 WASHINGTON ST
DORCHESTER, MA 02124
Pharmacy (Community/Retail Pharmacy)
637 WASHINGTON ST
DORCHESTER, MA 02124

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 Diane Russo's NPI number?

The NPI number for Diane Russo is 1174839146. It was assigned to this individual provider in the NPPES registry on August 27, 2010.

Where is Diane Russo located?

Diane Russo practices at 637 Washington St, Dorchester, MA 02124. The listed phone number is (617) 825-9660.

What is Diane Russo's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Diane Russo enrolled in Medicare?

Yes. Diane 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.

What insurance does Diane Russo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Diane 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.

When was this NPI record last updated?

The NPPES record for Diane Russo was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.