LUKE ANDREW RUSSELL PA
NPI 1407366453
Physician Assistant in Columbia, SC

Q: What is Luke Russell's NPI number?

The NPI number for Luke Russell is 1407366453. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Q: What is Luke Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Luke Russell was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since October 04, 2017PECOS EnrolledAccepts Medicare Assignment

14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203(803) 434-1663(803) 434-7092 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Luke Andrew Russell Pa NPPES

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

LUKE ANDREW RUSSELL PA (NPI 1407366453) is an individual physician assistant in Columbia, South Carolina, licensed in South Carolina (5749) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tinker Afb, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407366453

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameLUKE ANDREW RUSSELLCredential: PA

Location Address14 RICHLAND MEDICAL PARK DR STE 350Columbia, SC 29203-6896

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8603

Phone(803) 434-1663

Fax(803) 434-7092

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 4, 2017

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1407366453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 5749

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

14 RICHLAND MEDICAL PARK DR STE 350, Columbia, SC 29203

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Secondary Practice Location 1

Location 17050 Air Depot Blvd Bldg 1040Tinker AFB, OK 73145-8716 · Phone (405) 734-2778

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luke Andrew Russell Pa 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.

PECOS PAC ID5496149171

PECOS Enrollment IDI20251105001290

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 20

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

MICHAEL BULLOCK

Emergency Medicine