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DR. JILL M. RUSSOM MD
NPI 1639140791
Family Medicine in Orosi, CA

Active since January 27, 2006PECOS Enrolled
12586 AVENUE, OROSI, CA 93647(559) 528-2804(559) 528-7623 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jill M. Russom Md NPPES

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

DR. JILL M. RUSSOM MD (NPI 1639140791) is an individual family medicine provider in Orosi, California, licensed in California (A71632) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639140791
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JILL M. RUSSOMCredential: MD
Location Address12586 AVENUEOrosi, CA 93647-9454
Mailing Address305 East Center Ave.Visalia, CA 93291-6331 · (559) 737-4700 · Fax (559) 737-4782
Phone(559) 528-2804
Fax(559) 528-7623
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateMarch 27, 2012
✔ NPI 1639140791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A71632
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.
12586 AVENUE, Orosi, CA 93647
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Other Identifiers 2

Medicare UPINH43415CA
Medicare ID-Type Unspecified00A716320CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jill M. Russom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93647 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Jill Russom's NPI number?

The NPI number for Jill Russom is 1639140791. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Jill Russom located?

Jill Russom practices at 12586 Avenue, Orosi, CA 93647. The listed phone number is (559) 528-2804.

What is Jill Russom's specialty?

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

Is Jill Russom enrolled in Medicare?

Yes. Jill Russom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Russom was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.