RUSSELL S. FILLMORE OD
NPI 1306860754
Optometrist in Mansfield, OH
About Russell S. Fillmore Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSELL S. FILLMORE OD (NPI 1306860754) is an individual optometrist in Mansfield, Ohio, licensed in Ohio (4193T1387) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Russell S. Fillmore Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Russell Fillmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wooster, OH 44691
- Reassigned Medicare billing, Ohio enrollment
- 114 clinicians in this Medicare group
Columbus, OH 43221
- Reassigned Medicare billing, Ohio enrollment
- 7 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44907 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANSFIELD, OH 44907
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 Fillmore's NPI number?
The NPI number for Russell Fillmore is 1306860754. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Russell Fillmore located?
Russell Fillmore practices at 1164 Lexington Ave, Mansfield, OH 44907. The listed phone number is (419) 756-0500.
What is Russell Fillmore's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Russell Fillmore enrolled in Medicare?
Yes. Russell Fillmore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Russell Fillmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Russell Fillmore reassigns Medicare benefits to 2 organizations: Clarkson Optometry Midwest Inc (Wooster, OH) and Northwest Eyecare Professionals LLC (Columbus, OH). 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 Fillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Russell Fillmore accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Russell Fillmore 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 Russell Fillmore was last updated on June 30, 2017. 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.
# Russell S. Fillmore, OD · NPI 1306860754
Optometrist provider in Mansfield, Ohio. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1306860754 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4193T1387 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1164 LEXINGTON AVE, Mansfield, OH 44907-2254
- **Phone:** (419) 756-0500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Clarkson Optometry Midwest Inc (NPI 1396325130, Wooster, OH); Northwest Eyecare Professionals LLC (NPI 1831330976, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2017
- **Other identifiers:** Medicaid 0811607 (OH); Medicare UPIN U06525; Medicare ID-Type Unspecified FI0740773
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Source: [NPI Profile](https://npiprofile.com/npi/1306860754) · Data from the CMS NPPES public registry.