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DR. RUSSELL JAMES PIKUS M.D.
NPI 1407868722
Internal Medicine - Nephrology in Seymour, IN

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
225 S PINE ST JMB 2ND FLOOR, SEYMOUR, IN 47274(812) 523-4860(812) 523-4839 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Jun 12, 2024, Mar 29, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Russell James Pikus M.d. NPPES

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

DR. RUSSELL JAMES PIKUS M.D. (NPI 1407868722) is an individual nephrology provider in Seymour, Indiana, licensed in Indiana (01040449A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of Wayne State University School Of Medicine (1987).

NPPES Registry Identity

NPI1407868722
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RUSSELL JAMES PIKUSCredential: M.D.
Location Address225 S PINE ST JMB 2ND FLOORSeymour, IN 47274
Mailing Address225 S Pine St Jmb 2nd FloorSeymour, IN 47274 · (812) 523-4860 · Fax (812) 523-4839
Phone(812) 523-4860
Fax(812) 523-4839
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1987
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1407868722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IN · 01040449A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
225 S PINE ST JMB 2ND FLOOR, Seymour, IN 47274
Open in Google Maps ↗

Other Identifiers 2

Medicaid100342730IN
Other00000092496IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Dr. Russell James Pikus M.d. 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 ID6901881911
PECOS Enrollment IDI20111118000493
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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Scott Memorial Health

Critical Access Hospitals · Scottsburg, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number151334
Location1451 N Gardner StScottsburg, IN 47170 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47274 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers48 claims5,010 services$0.29 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers40 claims3,360 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers44 claims44 services$17.06 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers50 claims51 services$11.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MS. KAITLIN POWELL LMHC, NCC
Counselor (Mental Health)
225 S PINE ST JMB 2ND FLOOR
SEYMOUR, IN 47274
Jackson County (812) 523-7466

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 Pikus's NPI number?

The NPI number for Russell Pikus is 1407868722. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Russell Pikus located?

Russell Pikus practices at 225 S Pine St Jmb 2nd Floor, Seymour, IN 47274. The listed phone number is (812) 523-4860.

What is Russell Pikus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Russell Pikus enrolled in Medicare?

Yes. Russell Pikus 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.

What insurance does Russell Pikus accept?

Health plans from CareSource list Russell Pikus 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.

Is Russell Pikus affiliated with any hospitals?

According to CMS data, Russell Pikus is affiliated with Schneck Medical Center, Columbus Regional Hospital, Indiana University Health Bedford Hospital and Scott Memorial Health.

When was this NPI record last updated?

The NPPES record for Russell Pikus was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.