JONATHAN MATT RUSSO MD
NPI 1184681892
Internal Medicine - Gastroenterology in Plymouth, MA

Q: What is Jonathan Russo's NPI number?

The NPI number for Jonathan Russo is 1184681892. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Jonathan Russo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Russo was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment

47 OBERY ST, SUITE 201, PLYMOUTH, MA 02360(508) 747-1560(508) 747-5155 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2016, Jan 20, 2016 (2 updates tracked since 2016).

On this page

About Jonathan Matt Russo Md NPPES

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

JONATHAN MATT RUSSO MD (NPI 1184681892) is an individual gastroenterology provider in Plymouth, Massachusetts, licensed in Massachusetts (49964) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of University Of Massachusetts Medical School (1980).

NPPES Registry Identity

NPI1184681892

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJONATHAN MATT RUSSOCredential: MD

Location Address47 OBERY ST, SUITE 201Plymouth, MA 02360-2229

Mailing Address47 Obery St, Suite 201Plymouth, MA 02360 · (508) 747-1560 · Fax (508) 747-5155

Phone(508) 747-1560

Fax(508) 747-5155

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1980

Enumeration DateApril 27, 2006

Last NPPES UpdateAugust 25, 20162 updates tracked since enumeration

✔ NPI 1184681892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MA · 49964

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

47 OBERY ST, Plymouth, MA 02360

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB97898

Medicare OSCAR/certificationM15221

Medicaid3020835MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jonathan Matt 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 ID9335195064

PECOS Enrollment IDI20050325000392

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 13

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 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.

352 services237 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

212 services212 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

195 services190 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

173 services172 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

75 services75 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

65 services65 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

48 services48 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

34 services33 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

21 services21 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.

19 services19 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services16 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220060

Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

Leave this field empty

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATE LATRELL

Nurse Practitioner

47 OBERY ST
PLYMOUTH, MA 02360

Plymouth County (508) 747-1560

DIGESTIVE DISEASE ASSOCIATES PC

Internal Medicine (Gastroenterology)

47 OBERY ST, STE 201
PLYMOUTH, MA 02360

Plymouth County (508) 747-1560

ERIN MARIE SHEKANE

Nurse Practitioner (Primary Care)

47 OBERY ST
PLYMOUTH, MA 02360

Plymouth County (508) 747-1560

MISS ERIKA RAE SCANLON PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

47 OBERY ST
PLYMOUTH, MA 02360

Plymouth County (508) 746-8590

BRIAN M. GILL M.D.

Internal Medicine (Gastroenterology)

47 OBERY ST, SUITE 201
PLYMOUTH, MA 02360

Plymouth County (508) 747-1560

SOROYA M RAHAMAN MD

Internal Medicine (Gastroenterology)

47 OBERY ST
PLYMOUTH, MA 02360

Plymouth County (508) 747-1560

DR. BRUCE RAYMOND MARCEL MD

Internal Medicine (Gastroenterology)

47 OBERY ST, STE 201
PLYMOUTH, MA 02360

Plymouth County (508) 747-1560

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 Jonathan Russo's NPI number?

The NPI number for Jonathan Russo is 1184681892. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Jonathan Russo located?

Jonathan Russo practices at 47 Obery St Suite 201, Plymouth, MA 02360. The listed phone number is (508) 747-1560.

What is Jonathan Russo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jonathan Russo enrolled in Medicare?

Yes. Jonathan 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 Jonathan Russo accept?

Health plans from Anthem Blue Cross and Blue Shield list Jonathan 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 Jonathan Russo affiliated with any hospitals?

According to CMS data, Jonathan Russo is affiliated with Beth Israel Deaconess Hospital Plymouth.

When was this NPI record last updated?

The NPPES record for Jonathan Russo was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.