DR. DIANE M RUSSO OD
NPI 1174839146
Optometrist in Dorchester, MA
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
Specialties & Licenses
Other Identifiers 1
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Diane Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 63 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.
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.
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.
DORCHESTER, MA 02124
DORCHESTER CENTER, MA 02124
DORCHESTER, MA 02124
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.
Which organization bills Medicare for Diane Russo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diane Russo reassigns Medicare benefits to New England Eye Institute Inc. (Boston, MA). 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 Diane Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Diane Russo accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas 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 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.
# Dr. Diane M Russo, OD · NPI 1174839146
Optometrist provider in Dorchester, Massachusetts. Individual provider, active in the CMS NPPES registry since August 27, 2010.
## Identity
- **NPI:** 1174839146 (Entity type: Individual)
- **Enumerated:** August 27, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4926 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 637 WASHINGTON ST, Dorchester, MA 02124-3510
- **Phone:** (617) 825-9660 · **Fax:** (617) 288-7898
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** New England Eye Institute Inc. (NPI 1487607388, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2010
## Record status
- **NPPES last updated:** November 27, 2023
- **Other identifiers:** Medicaid 110101577A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174839146) · Data from the CMS NPPES public registry.