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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: October 25, 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
Phone(308) 995-2211
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1315 TIBBALS ST, Holdrege, NE 68949
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Russell Carlston reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phelps Memorial Health Center
0.1 mi
Nurse Anesthetist, Certified Registered
1215 TIBBALS ST
Holdrege, NE 68949
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1629035936 (Nebraska)
  • 77 clinicians in this Medicare group
NPI 1871528851 (308) 995-2211
Harlan County Health System
19 mi
Rural Health
811 HOWELL ST
Oxford, NE 68967
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1124035225 (Nebraska)
  • 31 clinicians in this Medicare group
NPI 1497052765 (308) 824-3288
Cambridge Memorial Hospital Inc
43 mi
Family Medicine
1305 HIGHWAY 6/34
Cambridge, NE 69022
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1548333214 (Nebraska)
  • 29 clinicians in this Medicare group
NPI 1740462654 (308) 697-3329
Phillips County Hospital
48 mi
Critical Access
1150 STATE ST
Phillipsburg, KS 67661
  • Reassigned Medicare billing, Kansas enrollment
  • 22 clinicians in this Medicare group
NPI 1639268246 (785) 543-5226
Butler County Health Care Center
131 mi
Critical Access
372 S 9TH ST
David City, NE 68632
  • Reassigned Medicare billing, Nebraska enrollment
  • 15 clinicians in this Medicare group
NPI 1790780237 (402) 367-1200

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

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.

KAMERON JOSEPH MURRAY MSPAS
Physician Assistant
1315 TIBBALS ST
HOLDREGE, NE 68949
Phelps County (308) 995-6111
CAITLYN RENEE CHRISTIANCY
Physician Assistant
1315 TIBBALS ST
HOLDREGE, NE 68949
Phelps County (308) 995-6111
PHELPS MEMORIAL HEALTH CENTER
Clinic/Center (Rural Health)
1315 TIBBALS ST
HOLDREGE, NE 68949
Phelps County (308) 995-6111
MICHELLE T HUNTER APRN
Nurse Practitioner (Women's Health)
1315 TIBBALS ST
HOLDREGE, NE 68949
Phelps County (308) 995-6111
HIGH PLAINS CLINIC, LLC
Family Medicine
1315 TIBBALS ST
HOLDREGE, NE 68949
Phelps County (308) 995-6111
HIGH PLAINS CLINIC LLC
Durable Medical Equipment & Medical Supplies
1315 TIBBALS ST
HOLDREGE, NE 68949
Phelps County (308) 995-6111
PHELPS MEMORIAL HEALTH CENTER
Clinic/Center (Rural Health)
1315 TIBBALS ST
HOLDREGE, NE 68949
Phelps County (308) 995-6111

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.

Which organizations bill Medicare for Russell Carlston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Carlston reassigns Medicare benefits to 5 organizations: Phelps Memorial Health Center (Holdrege, NE), Harlan County Health System (Oxford, NE), Cambridge Memorial Hospital Inc (Cambridge, NE), Phillips County Hospital (Phillipsburg, KS) and Butler County Health Care Center (David City, NE). Each 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 Russell Carlston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Russell Carlston accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 3 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.