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GARY E RUSSOLILLO MD PC
NPI 1710128699
Plastic Surgery in West Hartford, CT

Active since March 23, 2009
970 FARMINGTON AVE, WEST HARTFORD, CT 06107(860) 521-2200(860) 521-2605 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gary E Russolillo Md Pc NPPES

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

GARY E RUSSOLILLO MD PC (NPI 1710128699) is a healthcare organization registered as a plastic surgery in West Hartford, Connecticut and active in the NPI registry since March 2009. The organization lists Gary Edward Russolillo, President, as its authorized official.

NPPES Registry Identity

NPI1710128699
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameGARY E RUSSOLILLO MD PC
Location Address970 FARMINGTON AVEWest Hartford, CT 06107-2139
Mailing Address970 Farmington AveWest Hartford, CT 06107-2139 · (860) 521-2200 · Fax (860) 521-2605
Phone(860) 521-2200
Fax(860) 521-2605
Organization SubpartNo
Authorized OfficialGary Edward RussolilloPresident · (860) 521-2200
Enumeration DateMarch 23, 2009
✔ NPI 1710128699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
970 FARMINGTON AVE, West Hartford, CT 06107
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary E Russolillo Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gary E Russolillo MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gary Russolillo, M.D.
Plastic and Reconstructive Surgery
NPI 1518046358
970 FARMINGTON AVE SUITE 21
West Hartford, CT 06107
(860) 521-2200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gary E Russolillo MD PC's NPI number?

The NPI number for Gary E Russolillo MD PC is 1710128699. It was assigned to this organization in the NPPES registry on March 23, 2009.

Where is Gary E Russolillo MD PC located?

Gary E Russolillo MD PC is located at 970 Farmington Ave, West Hartford, CT 06107. The listed phone number is (860) 521-2200.

What is Gary E Russolillo MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Gary E Russolillo MD PC enrolled in Medicare?

Yes. Gary E Russolillo MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gary E Russolillo MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Gary E Russolillo MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gary E Russolillo MD PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Gary E Russolillo MD PC 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.

When was this NPI record last updated?

The NPPES record for Gary E Russolillo MD PC was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.