MARTIN T RUSSO JR. DO
NPI 1508876236
Family Medicine in Grand Haven, MI
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
Specialties & Licenses
Other Identifiers 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Martin Russo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Haven, MI 49417
- Reassigned Medicare billing, Michigan enrollment
- 28 clinicians in this Medicare group
Fruitport, MI 49415
- Reassigned Medicare billing, Michigan enrollment
- 130 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
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.
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, MIPhysician 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.
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.
Which organizations bill Medicare for Martin Russo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Russo reassigns Medicare benefits to 2 organizations: Noch Physician Billing Company LLC (Grand Haven, MI) and Mercy Physician Network (Fruitport, MI). 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 Martin Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martin Russo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer 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.
# Martin T Russo Jr., DO · NPI 1508876236
Family Medicine physician in Grand Haven, Michigan. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1508876236 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5101014183 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1310 WISCONSIN AVE STE 103, Grand Haven, MI 49417
- **Phone:** (616) 846-2640 · **Fax:** (616) 846-3110
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Noch Physician Billing Company LLC (NPI 1972550580, Grand Haven, MI); Mercy Physician Network (NPI 1639502701, Fruitport, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 1978
## Record status
- **NPPES last updated:** June 11, 2018
- **Other identifiers:** Medicaid 4094275 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1508876236) · Data from the CMS NPPES public registry.