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PAUL RUSSELL MD
NPI 1699862714
Otolaryngology in Nashville, TN

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Russell Md NPPES

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

PAUL RUSSELL MD (NPI 1699862714) is an individual otolaryngology provider in Nashville, Tennessee, licensed in Tennessee (MD38509) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1997).

NPPES Registry Identity

NPI1699862714
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePAUL RUSSELLCredential: MD
Location Address3601 TVCNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Phone(615) 322-3000
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1997
Enumeration DateOctober 9, 2006
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1699862714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TN · MD38509
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3601 TVC, Nashville, TN 37232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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

Paul Russell Md 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 ID8325023047
PECOS Enrollment IDI20040618000567
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 9

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
209 services125 patients
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.
186 services114 patients
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.
90 services68 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
81 services68 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
32 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

GEORGE ANNE RAINES APRN
Pediatrics
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LEALANI MAE ACOSTA MD
Psychiatry & Neurology (Neurology)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
ELLEN HOUSE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. DEBORAH P JONES MD
Pediatrics (Pediatric Nephrology)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
SPYROS KALAMS MD
Internal Medicine (Infectious Disease)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
ROBERT BAUM MD
Physical Medicine & Rehabilitation
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
KENNETH SHARP MD
Surgery
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JOHN DOWNING MD
Anesthesiology
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Paul Russell's NPI number?

The NPI number for Paul Russell is 1699862714. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Paul Russell located?

Paul Russell practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Paul Russell's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Paul Russell enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Russell accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Paul Russell 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 Paul Russell affiliated with any hospitals?

According to CMS data, Paul Russell is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Russell was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.