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DR. PETER CRIAG RUSS M.D
NPI 1568460921
Family Medicine in Forest City, NC

Active since July 11, 2005PECOS Enrolled
1269 US HWY 221A, FOREST CITY, NC 28043(828) 657-5371(828) 657-9190 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter Criag Russ M.d NPPES

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

DR. PETER CRIAG RUSS M.D (NPI 1568460921) is an individual family medicine provider in Forest City, North Carolina, licensed in North Carolina (2007-00384) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1568460921
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PETER CRIAG RUSSCredential: M.D
Location Address1269 US HWY 221AForest City, NC 28043-5921
Mailing Address1269 Us Hwy 221aForest City, NC 28043-5921 · (828) 657-5371 · Fax (828) 657-9190
Phone(828) 657-5371
Fax(828) 657-9190
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 11, 2005
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1568460921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2007-00384✔ Licensed in CT · 028399
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.
1269 US HWY 221A, Forest City, NC 28043
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Other Identifiers 3

Medicaid5910498NC
Medicaid001283994CT
OtherP00716054Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Criag Russ M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153378856
PECOS Enrollment IDI20081027000081
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 Reassignments

6

Medicare enrollment records show Peter Russ reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eventus Wh PLLC Care, LLC
52 mi
Family Medicine
2810 COLISEUM CENTRE DR STE 120
Charlotte, NC 28217
  • Reassigned Medicare billing, North Carolina enrollment
  • 191 clinicians in this Medicare group
NPI 1639990658 (855) 743-2247
Eventus Wh Southeast, LLC
60 mi
Geriatric Medicine
212 S TYRON ST STE 1000
Charlotte, NC 28281
  • Reassigned Medicare billing, North Carolina enrollment
  • 264 clinicians in this Medicare group
NPI 1487494811 (855) 743-2247
Eventus Value Care, LLC
71 mi
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 187 clinicians in this Medicare group
NPI 1013680503 (855) 743-2247
Eventus Wholehealth Aco LLC
71 mi
Geriatric Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 169 clinicians in this Medicare group
NPI 1023796307 (855) 743-2247
Eventus Wholehealth, PLLC
71 mi
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 312 clinicians in this Medicare group
NPI 1548759392 (855) 743-2247
Eventus Wh Southeast - South Carolina, LLC
97 mi
Nurse Practitioner
2 OFFICE PARK CT STE 103
Columbia, SC 29223
  • Reassigned Medicare billing, North Carolina enrollment
  • 193 clinicians in this Medicare group
NPI 1790503571 (855) 743-2247

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 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
312 services35 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
190 services29 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
92 services24 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
88 services27 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28043 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$62.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Peter Russ's NPI number?

The NPI number for Peter Russ is 1568460921. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Peter Russ located?

Peter Russ practices at 1269 Us Hwy 221A, Forest City, NC 28043. The listed phone number is (828) 657-5371.

What is Peter Russ's specialty?

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

Is Peter Russ enrolled in Medicare?

Yes. Peter Russ is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Russ's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Russ reassigns Medicare benefits to 6 organizations: Eventus Wh PLLC Care, LLC (Charlotte, NC), Eventus Wh Southeast, LLC (Charlotte, NC), Eventus Value Care, LLC (Concord, NC), Eventus Wholehealth Aco LLC (Concord, NC), Eventus Wholehealth, PLLC (Concord, NC) and 1 more organization, listed in the Medicare section above. 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 Peter Russ's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Russ was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.