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DR. STEPHEN P RUSSO DMD
NPI 1699809202
Dentist - Periodontics in Chicago, IL

Active since March 15, 2007PECOS Enrolled
25 E. WASHINGTON ST, SUITE 1125, CHICAGO, IL 60602(312) 641-2572(312) 641-6621 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephen P Russo Dmd NPPES

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

DR. STEPHEN P RUSSO DMD (NPI 1699809202) is an individual periodontics provider in Chicago, Illinois, licensed in Illinois (019-026457) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699809202
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. STEPHEN P RUSSOCredential: DMD
Location Address25 E. WASHINGTON ST, SUITE 1125Chicago, IL 60602
Mailing Address25 E. Washington St, Suite 1125Chicago, IL 60602 · (312) 641-2572 · Fax (312) 641-6621
Phone(312) 641-2572
Fax(312) 641-6621
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateMarch 31, 2014
✔ NPI 1699809202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 019-026457
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
25 E. WASHINGTON ST, Chicago, IL 60602
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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. Stephen P Russo Dmd 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 60602 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

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.

YUHWEN CHOW M.D.
Psychiatry & Neurology (Psychiatry)
25 E. WASHINGTON ST, SUITE 1906
CHICAGO, IL 60602
Cook County (312) 658-0095
MS. LILLIAN M. DE BLECOURT LCSW
Social Worker (Clinical)
25 E. WASHINGTON ST, SUITE 1041
CHICAGO, IL 60602
Cook County (312) 888-9120

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 Stephen Russo's NPI number?

The NPI number for Stephen Russo is 1699809202. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Stephen Russo located?

Stephen Russo practices at 25 E. Washington St Suite 1125, Chicago, IL 60602. The listed phone number is (312) 641-2572.

What is Stephen Russo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Stephen Russo enrolled in Medicare?

Yes. Stephen Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Russo was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.