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DR. CHARLES E RUSSELL MD
NPI 1245220912
Preventive Medicine - Addiction Medicine in Dayton, OH

Active since October 25, 2005PECOS Enrolled
2611 WAYNE AVE, DAYTON, OH 45420(937) 256-7801(937) 641-8517 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, Jul 23, 2024, Apr 15, 2020 (3 updates tracked since 2020).

About Dr. Charles E Russell Md NPPES

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

DR. CHARLES E RUSSELL MD (NPI 1245220912) is an individual addiction medicine provider in Dayton, Ohio, licensed in Ohio (35050063) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245220912
Entity TypeIndividualMale
Primary Taxonomy2083A0300X
Provider Legal NameDR. CHARLES E RUSSELLCredential: MD
Location Address2611 WAYNE AVEDayton, OH 45420-1833
Mailing Address3195 Dayton Xenia Rd # 900-162Beavercreek, OH 45434-6390 · (937) 718-7677
Phone(937) 256-7801
Fax(937) 641-8517
Sole ProprietorYes
Enumeration DateOctober 25, 2005
Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1245220912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in OH · 35050063
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35050063 (OH)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 35050063 (OH)
2611 WAYNE AVE, Dayton, OH 45420
Open in Google Maps ↗

Other Identifiers 2

Other000000546225OH · Anthem
Medicaid0573348OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles E Russell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45420 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

LAURA LOKAI
Licensed Practical Nurse
2611 WAYNE AVE
DAYTON, OH 45420
Montgomery County (937) 256-7801
MS. ANITA M REED LPN
Licensed Practical Nurse
2611 WAYNE AVE
DAYTON, OH 45420
Montgomery County (937) 256-7801
MR. STEPHEN JOSEPH WATKINS
Counselor (Addiction (Substance Use Disorder))
2611 WAYNE AVE
DAYTON, OH 45420
Montgomery County (937) 228-0579
ASHLEY ELIZABETH BELL RN
Registered Nurse (Psychiatric/Mental Health)
2611 WAYNE AVE
DAYTON, OH 45420
Montgomery County (937) 641-8521
ACCESS RX PHARMACY LLC
Pharmacy (Institutional Pharmacy)
2611 WAYNE AVE
DAYTON, OH 45420
Montgomery County (937) 256-7801
MS. NIKKOL MICHELLE FERGUSON LPN
Licensed Practical Nurse
2611 WAYNE AVE
DAYTON, OH 45420
Montgomery County (937) 256-7801
ACCESS HOSPITAL DAYTON LLC
Psychiatric Hospital
2611 WAYNE AVE
DAYTON, OH 45420
Montgomery County (614) 225-0400
AMANDA A SHANNON
Counselor (Addiction (Substance Use Disorder))
2611 WAYNE AVE
DAYTON, OH 45420
Montgomery County (937) 256-7801

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 Charles Russell's NPI number?

The NPI number for Charles Russell is 1245220912. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Charles Russell located?

Charles Russell practices at 2611 Wayne Ave, Dayton, OH 45420. The listed phone number is (937) 256-7801.

What is Charles Russell's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Charles Russell enrolled in Medicare?

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

What insurance does Charles Russell accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Charles Russell 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 Charles Russell was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.