RUSSELL ELMES MD
NPI 1194385898
Emergency Medicine in Hackensack, NJ

Active since June 16, 2019PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2000 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2024, Sep 29, 2022, Jun 16, 2019 (3 updates tracked since 2019).

About Russell Elmes Md NPPES

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

RUSSELL ELMES MD (NPI 1194385898) is an individual emergency medicine provider in Hackensack, New Jersey, licensed in Nevada (25418) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1194385898
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRUSSELL ELMESCredential: MD
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915
Sole ProprietorNo
Enumeration DateJune 16, 2019
Last NPPES UpdateJune 4, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1194385898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NV · 25418✔ Licensed in NJ · 25MA11468900
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.
30 PROSPECT AVE, Hackensack, NJ 07601

Secondary Practice Location 1

Location 1330 Brookline AveBoston, MA 02215-5400 · Phone (617) 667-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Elmes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

7

Medicare enrollment records show Russell Elmes reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Emergency Medicine
68 HARRIS RD
Harris, NY 12742
  • Reassigned Medicare billing, New York enrollment
  • 75 clinicians in this Medicare group
Emergency Medicine
1050 W GALLERIA DR
Henderson, NV 89011
  • Reassigned Medicare billing, Nevada enrollment
  • 62 clinicians in this Medicare group
Emergency Medicine
7207 ALIANTE PARKWAY
North Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 304 clinicians in this Medicare group
Emergency Medicine
1155 RAIDERS WAY
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 43 clinicians in this Medicare group
Emergency Medicine
820 E MOUNTAIN VIEW ST
Barstow, CA 92311
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
Emergency Medicine
600 N HIGHLAND SPRINGS AVE
Banning, CA 92220
  • Reassigned Medicare billing, California enrollment
  • 50 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.

Areas of Expertise CMS Part B claims 3

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.
217 services211 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.
57 services56 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.
56 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 Russell Elmes's NPI number?

The NPI number for Russell Elmes is 1194385898. It was assigned to this individual provider in the NPPES registry on June 16, 2019.

Where is Russell Elmes located?

Russell Elmes practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.

What is Russell Elmes's specialty?

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

Is Russell Elmes enrolled in Medicare?

Yes. Russell Elmes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Russell Elmes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Elmes reassigns Medicare benefits to 7 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Sullivan Emergency Services PC (Harris, NY), Irv Edwards MD PC (Henderson, NV), Fremont Emergency Services Scherr Ltd (North Las Vegas, NV), Edwards MD PC (Henderson, NV) and 2 more organizations, listed in the Medicare section above. Each 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 Russell Elmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Russell Elmes was last updated on June 4, 2024. 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.