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MICHAEL ANTHONY RUSSO MD
NPI 1700084381
Surgery in Fountain Valley, CA

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
1811 BROOKFURST ST #5600, FOUNTAIN VALLEY, CA 92708(714) 861-4666(714) 861-4682 Get Directions Write a Review

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

Record update history: Mar 7, 2023, Nov 8, 2018 (2 updates tracked since 2018).

About Michael Anthony Russo Md NPPES

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

MICHAEL ANTHONY RUSSO MD (NPI 1700084381) is an individual surgery provider in Fountain Valley, California, licensed in California (A125016) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Toledo Medical College (2007).

NPPES Registry Identity

NPI1700084381
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL ANTHONY RUSSOCredential: MD
Location Address1811 BROOKFURST ST #5600Fountain Valley, CA 92708-6728
Mailing Address1811 Brookfurst St #5600Fountain Valley, CA 92708-6728 · (714) 861-4666 · Fax (714) 861-4682
Phone(714) 861-4666
Fax(714) 861-4682
Sole ProprietorNo
Medical School CMSToledo Medical CollegeGraduated 2007
Enumeration DateJuly 5, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1700084381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CA · A125016✔ Licensed in TX · Q1013
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Other Identifiers 2

OtherASO2532199374NV · Nv Board Of Pharm
OtherLL1802NV · Nv Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Anthony Russo 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 ID8224276076
PECOS Enrollment IDI20130606000219
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 Reassignment

Medicare enrollment records show Michael Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Leport Surgical Medical Corporation
Specialist
18111 BROOKHURST ST, SUITE 5600
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1194940015 (714) 861-4666

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 3

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 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.
34 services12 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services16 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Michael Russo's NPI number?

The NPI number for Michael Russo is 1700084381. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Michael Russo located?

Michael Russo practices at 1811 Brookfurst St #5600, Fountain Valley, CA 92708. The listed phone number is (714) 861-4666.

What is Michael Russo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Russo enrolled in Medicare?

Yes. Michael Russo 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.

Which organization bills Medicare for Michael Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Russo reassigns Medicare benefits to Leport Surgical Medical Corporation (Fountain Valley, CA). The 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 Michael Russo'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 Michael Russo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.