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RUSSELL WILLIAMS DMD, MS
NPI 1386863629
Dentist - Oral and Maxillofacial Surgery in Springfield, IL

Active since April 25, 2007Opted out of Medicare · through May 8, 2027
3007 SPRING MILL DR, SPRINGFIELD, IL 62704(217) 546-8100 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell Williams Dmd, Ms NPPES

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

RUSSELL WILLIAMS DMD, MS (NPI 1386863629) is an individual oral and maxillofacial surgery provider in Springfield, Illinois and active in the NPI registry since April 2007. He has opted out of Medicare through May 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386863629
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameRUSSELL WILLIAMSCredential: DMD, MS
Location Address3007 SPRING MILL DRSpringfield, IL 62704-6558
Mailing Address10220 N Pawnee RdPawnee, IL 62558-4559 · (217) 546-8100
Phone(217) 546-8100
Sole ProprietorNo
Enumeration DateApril 25, 2007
Last NPPES UpdateSeptember 19, 2007
✔ NPI 1386863629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3007 SPRING MILL DR, Springfield, IL 62704
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Other Identifiers 1

Medicare PIN687952IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Russell Williams Dmd, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 8, 2017 through May 8, 2027.

Opt-Out Effective DateMay 8, 2017
Opt-Out In Effect ThroughMay 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 5

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

SPRINGFIELD ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY LTD
Dentist (Oral and Maxillofacial Surgery)
3007 SPRING MILL DR
SPRINGFIELD, IL 62704
Sangamon County (217) 546-8100
DR. DAVID FISCHER DDS
Dentist
3007 SPRING MILL DR
SPRINGFIELD, IL 62704
Sangamon County (217) 546-8100
DR. LOUIS DENNIS SCANNURA D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3007 SPRING MILL DR
SPRINGFIELD, IL 62704
Sangamon County (217) 546-8100
DR. ERIC KENT WOOLBRIGHT DDS
Dentist (Oral and Maxillofacial Surgery)
3007 SPRING MILL DR
SPRINGFIELD, IL 62704
Sangamon County (217) 546-8100
DR. PHILLIP N WHEAT DDS,MS
Dentist (Oral and Maxillofacial Surgery)
3007 SPRING MILL DR
SPRINGFIELD, IL 62704
Sangamon County (217) 546-8100

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 Williams's NPI number?

The NPI number for Russell Williams is 1386863629. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Russell Williams located?

Russell Williams practices at 3007 Spring Mill Dr, Springfield, IL 62704. The listed phone number is (217) 546-8100.

What is Russell Williams's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Russell Williams enrolled in Medicare?

No. Russell Williams has opted out of Medicare through May 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Russell Williams was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.