DR. RANDOLPH B RUSSO MD
NPI 1306833470
Physical Medicine & Rehabilitation in Grand Rapids, MI
About Dr. Randolph B Russo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDOLPH B RUSSO MD (NPI 1306833470) is an individual physical medicine & rehabilitation provider in Grand Rapids, Michigan, licensed in Michigan (4301056466) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
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. Randolph B 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.
Medicare Billing Reassignment
Medicare enrollment records show Randolph Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 69 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 15
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIUniversity Of Michigan Health - West
Acute Care Hospitals · Wyoming, MICorewell Health Pennock Hospital
Critical Access Hospitals · Hastings, MIMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 Randolph Russo's NPI number?
The NPI number for Randolph Russo is 1306833470. It was assigned to this individual provider in the NPPES registry on October 4, 2005.
Where is Randolph Russo located?
Randolph Russo practices at 1111 Leffingwell Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 459-7101.
What is Randolph Russo's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Randolph Russo enrolled in Medicare?
Yes. Randolph 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 Randolph Russo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Russo reassigns Medicare benefits to Orthopaedic Associates Of Grand Rapids, PC (Grand Rapids, MI). 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 Randolph Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randolph Russo accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Randolph 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 Randolph Russo affiliated with any hospitals?
According to CMS data, Randolph Russo is affiliated with Spectrum Health, University Of Michigan Health - West and Corewell Health Pennock Hospital.
When was this NPI record last updated?
The NPPES record for Randolph Russo was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.