1. Home
  2. Directory
  3. Michigan
  4. Grand Haven
  5. Family Medicine
  6. NPI Profile

MARTIN T RUSSO JR. DO
NPI 1508876236
Family Medicine in Grand Haven, MI

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
1310 WISCONSIN AVE STE 103, GRAND HAVEN, MI 49417(616) 846-2640(616) 846-3110 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martin T Russo Jr. Do NPPES

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

MARTIN T RUSSO JR. DO (NPI 1508876236) is an individual family medicine provider in Grand Haven, Michigan, licensed in Michigan (5101014183) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1978).

NPPES Registry Identity

NPI1508876236
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARTIN T RUSSO JR.Credential: DO
Location Address1310 WISCONSIN AVE STE 103Grand Haven, MI 49417
Mailing Address1310 Wisconsin Ave, Ste 101Grand Haven, MI 49417-2472 · (616) 847-5604 · Fax (616) 846-0141
Phone(616) 846-2640
Fax(616) 846-3110
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1978
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 11, 2018
✔ NPI 1508876236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101014183
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1310 WISCONSIN AVE STE 103, Grand Haven, MI 49417
Open in Google Maps ↗

Other Identifiers 1

Medicaid4094275MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Martin T Russo Jr. Do 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 ID2264416718
PECOS Enrollment IDI20040614001359
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 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.
26 services23 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Martin Russo's NPI number?

The NPI number for Martin Russo is 1508876236. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Martin Russo located?

Martin Russo practices at 1310 Wisconsin Ave Ste 103, Grand Haven, MI 49417. The listed phone number is (616) 846-2640.

What is Martin Russo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Martin Russo enrolled in Medicare?

Yes. Martin Russo 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 Martin Russo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Martin 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.

Is Martin Russo affiliated with any hospitals?

According to CMS data, Martin Russo is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Martin Russo was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.