DR. JEFFREY CARL RUSSO D.M.D.
NPI 1396862561
Dentist - General Practice in East Windsor, CT

Active since March 23, 2007PECOS Enrolled
148 NORTH RD, EAST WINDSOR, CT 06088(860) 627-5235 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jeffrey Carl Russo D.m.d. NPPES

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

DR. JEFFREY CARL RUSSO D.M.D. (NPI 1396862561) is an individual general practice provider in East Windsor, Connecticut, licensed in Connecticut (9049) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396862561
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEFFREY CARL RUSSOCredential: D.M.D.
Location Address148 NORTH RDEast Windsor, CT 06088-9502
Mailing Address148 North RdEast Windsor, CT 06088-9502 · (860) 627-5235
Sole ProprietorYes
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396862561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 9049
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
148 NORTH RD, East Windsor, CT 06088

Accepted 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. Jeffrey Carl Russo D.m.d. 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 06088 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 6

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

Dentist
148 NORTH RD
EAST WINDSOR, CT 06088
Dentist
148 NORTH RD
EAST WINDSOR, CT 06088
Dentist (General Practice)
148 NORTH RD
EAST WINDSOR, CT 06088
Dentist
148 NORTH RD
EAST WINDSOR, CT 06088
Dentist (General Practice)
148 NORTH RD
EAST WINDSOR, CT 06088
Internal Medicine
148 NORTH RD
EAST WINDSOR, CT 06088

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 Jeffrey Russo's NPI number?

The NPI number for Jeffrey Russo is 1396862561. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Jeffrey Russo located?

Jeffrey Russo practices at 148 North Rd, East Windsor, CT 06088. The listed phone number is (860) 627-5235.

What is Jeffrey Russo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeffrey Russo enrolled in Medicare?

Yes. Jeffrey Russo is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Russo accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.