DR. RUSSELL CARLSTON D.P.M
NPI 1710369095
Podiatrist in Holdrege, NE

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
76.09/100
CMS Quality Rating
1315 TIBBALS ST, HOLDREGE, NE 68949(308) 995-2211 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Sep 10, 2018 (2 updates tracked since 2018).

About Dr. Russell Carlston D.p.m NPPES

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

DR. RUSSELL CARLSTON D.P.M (NPI 1710369095) is an individual podiatrist in Holdrege, Nebraska, licensed in Nebraska (369) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Phillips County Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710369095
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. RUSSELL CARLSTONCredential: D.P.M
Location Address1315 TIBBALS STHoldrege, NE 68949-1257
Mailing Address1215 Tibbals StHoldrege, NE 68949-1261 · (308) 995-2211 · Fax (308) 995-2989
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 23, 2015
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
NPI 1710369095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NE · 369
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1315 TIBBALS ST, Holdrege, NE 68949

Accepted 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

Dr. Russell Carlston D.p.m 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 ID1557616992
PECOS Enrollment IDI20180626001578, I20210908002271
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.

Hospital Affiliations CMS Care Compare 4

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

Phillips County Hospital

Critical Access Hospitals · Phillipsburg, KS
OwnershipGovernment - Local
CMS Certification Number171353
Location1150 State StreetPhillipsburg, KS 67661 · Phillips County
Emergency services

Harlan County Health System

Critical Access Hospitals · Alma, NE
OwnershipGovernment - Local
CMS Certification Number281300
Location717 Brown StAlma, NE 68920 · Harlan County

Tri Valley Health System

Critical Access Hospitals · Cambridge, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281348
Location1305 West Highway 6/34Cambridge, NE 69022 · Furnas County
Emergency services

Phelps Memorial Health Center

Critical Access Hospitals · Holdrege, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281362
Location1215 Tibbals StHoldrege, NE 68949 · Phelps County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68949 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

76.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.25
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
7 suppliers32 claims64 services$57.25 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
6 suppliers34 claims131 services$36.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
1315 TIBBALS ST
HOLDREGE, NE 68949
Physician Assistant
1315 TIBBALS ST
HOLDREGE, NE 68949
Clinic/Center (Rural Health)
1315 TIBBALS ST
HOLDREGE, NE 68949
Nurse Practitioner (Women's Health)
1315 TIBBALS ST
HOLDREGE, NE 68949
Family Medicine
1315 TIBBALS ST
HOLDREGE, NE 68949
Durable Medical Equipment & Medical Supplies
1315 TIBBALS ST
HOLDREGE, NE 68949
Clinic/Center (Rural Health)
1315 TIBBALS ST
HOLDREGE, NE 68949

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 Russell Carlston's NPI number?

The NPI number for Russell Carlston is 1710369095. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Russell Carlston located?

Russell Carlston practices at 1315 Tibbals St, Holdrege, NE 68949. The listed phone number is (308) 995-2211.

What is Russell Carlston's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Russell Carlston enrolled in Medicare?

Yes. Russell Carlston 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 Russell Carlston accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Russell Carlston 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 Russell Carlston affiliated with any hospitals?

According to CMS data, Russell Carlston is affiliated with Phillips County Hospital, Harlan County Health System, Tri Valley Health System and Phelps Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Russell Carlston was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.