DR. RUSSELL DAVIDSON MD
NPI 1407143373
Emergency Medicine in Portland, OR
About Dr. Russell Davidson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUSSELL DAVIDSON MD (NPI 1407143373) is an individual emergency medicine provider in Portland, Oregon, licensed in Texas (Q5788) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in El Paso, and is a graduate of Wayne State University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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. Russell Davidson 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 Reassignments
3Medicare enrollment records show Russell Davidson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97201
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 711 clinicians in this Medicare group
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 316 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 4
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 97216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PORTLAND, OR 97216
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 Davidson's NPI number?
The NPI number for Russell Davidson is 1407143373. It was assigned to this individual provider in the NPPES registry on June 29, 2011.
Where is Russell Davidson located?
Russell Davidson practices at 10123 SE Market St, Portland, OR 97216. The listed phone number is (503) 257-2500.
What is Russell Davidson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Russell Davidson enrolled in Medicare?
Yes. Russell Davidson 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 organizations bill Medicare for Russell Davidson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Russell Davidson reassigns Medicare benefits to 3 organizations: University Professional Services (Portland, OR), The Vancouver Clinic Inc Ps (Vancouver, WA) and Emergency Physicians Integrated Care, LLC (Salt Lake City, UT). 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 Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Russell Davidson accept?
Health plans from Blue Cross and Blue Shield of Texas list Russell Davidson 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 Davidson was last updated on February 27, 2020. 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.
# Dr. Russell Davidson, MD · NPI 1407143373
Emergency Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 29, 2011.
## Identity
- **NPI:** 1407143373 (Entity type: Individual)
- **Enumerated:** June 29, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** Q5788 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10123 SE MARKET ST, Portland, OR 97216-2532
- **Phone:** (503) 257-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1316354970, Portland, OR); The Vancouver Clinic Inc Ps (NPI 1992759427, Vancouver, WA); Emergency Physicians Integrated Care, LLC (NPI 1578598199, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1407143373) · Data from the CMS NPPES public registry.