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SAMUEL DAVID RUSS MD
NPI 1518354828
Orthopaedic Surgery in Woodbury, MN

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125(651) 968-5201 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2021, Dec 24, 2020, Jul 30, 2020 and 1 more (4 updates tracked since 2020).

About Samuel David Russ Md NPPES

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

SAMUEL DAVID RUSS MD (NPI 1518354828) is an individual orthopaedic surgery provider in Woodbury, Minnesota, licensed in Minnesota (69423) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Ridges Hospital, and is a graduate of University Of Minnesota Medical School (2015).

NPPES Registry Identity

NPI1518354828
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSAMUEL DAVID RUSSCredential: MD
Location Address2090 WOODWINDS DR STE 200Woodbury, MN 55125-2522
Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925 · (651) 968-5200 · Fax (651) 968-5904
Phone(651) 968-5201
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2015
Enumeration DateApril 24, 2015
Last NPPES UpdateAugust 2, 20214 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1518354828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MN · 69423✔ Licensed in ME · MD23695
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2090 WOODWINDS DR STE 200, Woodbury, MN 55125
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Accepted Insurance

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

Samuel David Russ 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.

PECOS PAC ID6103122064
PECOS Enrollment IDI20210813000888, I20210818000716
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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Russ reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Orthopedics, Ltd
3.7 mi
Orthopaedic Surgery
710 COMMERCE DR STE 200
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 197 clinicians in this Medicare group
NPI 1306899463 (651) 968-5042

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 9

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
154 services102 patients
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.
154 services109 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
79 services51 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
66 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
30 services17 patients

Hospital Affiliations CMS Care Compare 3

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

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 17

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

ALICIA MERCEDES REARDON APRN, CNP
Nurse Practitioner (Family)
2090 WOODWINDS DR STE 200
WOODBURY, MN 55125
Washington County (651) 968-5201
KARI L DONALD P.T.
Physical Therapist
2090 WOODWINDS DR STE 200
WOODBURY, MN 55125
Washington County (651) 968-5201
SARAH A ANDERSON PA-C
Physician Assistant (Surgical)
2090 WOODWINDS DR STE 200
WOODBURY, MN 55125
Washington County (651) 968-5201
MADISON LEE HAUS
Physician Assistant (Surgical)
2090 WOODWINDS DR STE 200
WOODBURY, MN 55125
Washington County (651) 968-5201
KEANNA PRESTEGAARD PA-C
Physician Assistant
2090 WOODWINDS DR STE 200
WOODBURY, MN 55125
Washington County (651) 968-5201
DR. DANIEL TIMOTHY PROBST MD
Physical Medicine & Rehabilitation
2090 WOODWINDS DR STE 200
WOODBURY, MN 55125
Washington County (651) 968-5201
DR. MICHAEL RICHARD ANDERSON D.O.
Orthopaedic Surgery (Foot and Ankle Surgery)
2090 WOODWINDS DR STE 200
WOODBURY, MN 55125
Washington County (651) 968-5200
BRYAN J NESTOR MD
Orthopaedic Surgery
2090 WOODWINDS DR STE 200
WOODBURY, MN 55125
Washington County (651) 968-5201

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 Samuel Russ's NPI number?

The NPI number for Samuel Russ is 1518354828. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Samuel Russ located?

Samuel Russ practices at 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125. The listed phone number is (651) 968-5201.

What is Samuel Russ's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Samuel Russ enrolled in Medicare?

Yes. Samuel Russ 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 organization bills Medicare for Samuel Russ's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Russ reassigns Medicare benefits to Summit Orthopedics, Ltd (Woodbury, MN). The 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 Samuel Russ's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Russ accept?

Health plans from HealthPartners list Samuel Russ 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 Samuel Russ affiliated with any hospitals?

According to CMS data, Samuel Russ is affiliated with M Health Fairview Ridges Hospital, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Russ was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.