MARY KATHLEEN RUSSELL M.D.
NPI 1609253145
Ophthalmology in Chicago, IL

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
259 E ERIE ST STE 1500, CHICAGO, IL 60611(312) 695-8150 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2019, Feb 13, 2016 (2 updates tracked since 2016).

About Mary Kathleen Russell M.d. NPPES

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

MARY KATHLEEN RUSSELL M.D. (NPI 1609253145) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (036148568) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1609253145
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMARY KATHLEEN RUSSELLCredential: M.D.
Location Address259 E ERIE ST STE 1500Chicago, IL 60611-3111
Mailing Address680 N Lake Shore DrChicago, IL 60611-4546 · (312) 695-6868
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2015
Enumeration DateMay 5, 2015
Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration
NPI 1609253145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IL · 036148568 Licensed in IL · 125.067022
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
259 E ERIE ST STE 1500, Chicago, IL 60611

Other Names 1

Former Name (1)Mary Kathleen Howard M.d.

Secondary Practice Location 1

Location 17435 W Talcott AveChicago, IL 60631-3707 · Phone (773) 792-5261 · Fax (773) 990-7635

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

Mary Kathleen Russell 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 ID6608171244
PECOS Enrollment IDI20190813000424
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 15

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.
247 services192 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
217 services194 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
205 services202 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.
190 services172 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
182 services144 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
152 services151 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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 Mary Russell's NPI number?

The NPI number for Mary Russell is 1609253145. It was assigned to this individual provider in the NPPES registry on May 5, 2015. The provider is also known as Mary Kathleen Howard M.D..

Where is Mary Russell located?

Mary Russell practices at 259 E Erie St Ste 1500, Chicago, IL 60611. The listed phone number is (312) 695-8150.

What is Mary Russell's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mary Russell enrolled in Medicare?

Yes. Mary Russell 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.

Is Mary Russell affiliated with any hospitals?

According to CMS data, Mary Russell is affiliated with Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Mary Russell was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.