MIGUEL A LUNA RUSSO M.D.
NPI 1538423967
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in West Palm Beach, FL

Q: What is Miguel Luna Russo's NPI number?

The NPI number for Miguel Luna Russo is 1538423967. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Q: What is Miguel Luna Russo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Luna Russo was last updated on September 4, 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.

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment

4631 N CONGRESS AVE STE 100, WEST PALM BEACH, FL 33407(561) 764-2750 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Aug 9, 2021, Jul 29, 2021 and 1 more (4 updates tracked since 2019).

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About Miguel A Luna Russo M.d. NPPES

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

MIGUEL A LUNA RUSSO M.D. (NPI 1538423967) is an individual urogynecology and reconstructive pelvic surgery provider in West Palm Beach, Florida, licensed in Florida (ME163514) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Palms West Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1538423967

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameMIGUEL A LUNA RUSSOCredential: M.D.

Location Address4631 N CONGRESS AVE STE 100West Palm Beach, FL 33407-3209

Mailing Address4631 N Congress Ave Ste 100West Palm Beach, FL 33407-3209 · (561) 764-2750

Phone(561) 764-2750

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJune 29, 2012

Last NPPES UpdateSeptember 4, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1538423967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

Licenses✔ Licensed in FL · ME163514✔ Licensed in OH · 35.136534

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 23780 (ZZ)

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 35.136534 (OH)

4631 N CONGRESS AVE STE 100, West Palm Beach, FL 33407

Open in Google Maps ↗

Secondary Practice Locations 3

Location 19500 Euclid AveCleveland, OH 44195-6309 · Phone (218) 444-2200

Location 21041S MADISON STTUPELO, MS 38801-6309 · Phone (662) 844-6295 · Fax (662) 844-1973

Location 32500 N State St, Department of OBGYNJackson, MS 39216-4500 · Phone (601) 984-5338 · Fax (601) 815-4112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Miguel A Luna Russo 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 ID3173847043

PECOS Enrollment IDI20240530002945

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.

Hospital Affiliations CMS Care Compare

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

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100269

Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33407 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

93%253 patients5/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

88%1,138 patients

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%1,172 patients5/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

65%355 patients3/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%602 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

32%2,202 patients2/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

22%1,259 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 1,016 patients

Patients tobacco: 4% · 138 patients

85%1,016 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

60%2,202 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

19%2,202 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

36%2,202 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. LUIS ANGEL FLORES M.D.

Obstetrics & Gynecology (Gynecology)

4631 N CONGRESS AVE STE 100
WEST PALM BEACH, FL 33407

Palm Beach County (561) 764-2750

MRS. TONI BIANCA TARAN APRN

Nurse Practitioner (Family)

4631 N CONGRESS AVE STE 100
WEST PALM BEACH, FL 33407

Palm Beach County (305) 666-1811

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 Miguel Luna Russo's NPI number?

The NPI number for Miguel Luna Russo is 1538423967. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Miguel Luna Russo located?

Miguel Luna Russo practices at 4631 N Congress Ave Ste 100, West Palm Beach, FL 33407. The listed phone number is (561) 764-2750.

What is Miguel Luna Russo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Miguel Luna Russo enrolled in Medicare?

Yes. Miguel Luna 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 Miguel Luna Russo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list Miguel Luna 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 Miguel Luna Russo affiliated with any hospitals?

According to CMS data, Miguel Luna Russo is affiliated with Hca Florida Palms West Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Luna Russo was last updated on September 4, 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.