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MICHAEL DAVID RUSSELL MD, MBA, MPH
NPI 1710484472
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Santa Monica, CA

Active since April 10, 2018PECOS Enrolled
85.18/100
CMS Quality Rating
1131 WILSHIRE BLVD STE 100, SANTA MONICA, CA 90401(310) 319-3475 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Aug 7, 2023, Apr 10, 2018 (3 updates tracked since 2018).

About Michael David Russell Md, Mba, Mph NPPES

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

MICHAEL DAVID RUSSELL MD, MBA, MPH (NPI 1710484472) is an individual pediatric orthopaedic surgery provider in Santa Monica, California, licensed in Texas (W6372) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710484472
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameMICHAEL DAVID RUSSELLCredential: MD, MBA, MPH
Location Address1131 WILSHIRE BLVD STE 100Santa Monica, CA 90401-2072
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 319-3475
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1710484472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in TX · W6372
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A185250 (CA)
1131 WILSHIRE BLVD STE 100, Santa Monica, CA 90401
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Secondary Practice Locations 3

Location 11225 15th St Ste 2100Santa Monica, CA 90404-1101 · Phone (310) 319-1234
Location 21250 16th St Ste 2100Santa Monica, CA 90404-1249 · Phone (310) 319-1234
Location 34102 24th St Ste 506Lubbock, TX 79410-1805 · Phone (806) 725-7980 · Fax (806) 723-7985

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael David Russell Md, Mba, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032465885
PECOS Enrollment IDI20260605000642
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 Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group
954 mi
Family Medicine
2215 NASHVILLE AVE
Lubbock, TX 79410
  • Reassigned Medicare billing, Texas enrollment
  • 309 clinicians in this Medicare group
NPI 1376598904 (806) 725-4800

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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 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.
13 services13 patients

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.96
Promoting Interoperability100
Improvement Activities40
Cost57.6

Other Providers at the Same Location NPPES 10

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

MAX KAHN M.D.
Neurological Surgery
1131 WILSHIRE BLVD STE 100
SANTA MONICA, CA 90401
Los Angeles County (310) 319-3475
JOSEPH PATRICK SOLBERG DO
Physical Medicine & Rehabilitation (Pain Medicine)
1131 WILSHIRE BLVD STE 100
SANTA MONICA, CA 90401
Los Angeles County (310) 319-3475
NORA CHUNG KIM MD
Neurological Surgery
1131 WILSHIRE BLVD STE 100
SANTA MONICA, CA 90401
Los Angeles County (310) 319-3475
JENNA PASTORELLI MSN-FNP
Nurse Practitioner
1131 WILSHIRE BLVD STE 100
SANTA MONICA, CA 90401
Los Angeles County (310) 319-3475
JERRY NOEL D.O.
Neurological Surgery
1131 WILSHIRE BLVD STE 100
SANTA MONICA, CA 90401
Los Angeles County (310) 825-5111
DR. BRIAN JOSSUE SORTO DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
1131 WILSHIRE BLVD STE 100
SANTA MONICA, CA 90401
Los Angeles County (310) 319-3475
DR. JASON JOHN WEI DO
Physical Medicine & Rehabilitation
1131 WILSHIRE BLVD STE 100
SANTA MONICA, CA 90401
Los Angeles County (310) 319-3475
JONATHAN TAYLOR DROESSLER MD
Physical Medicine & Rehabilitation
1131 WILSHIRE BLVD STE 100
SANTA MONICA, CA 90401
Los Angeles County (310) 319-3475

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 Russell's NPI number?

The NPI number for Michael Russell is 1710484472. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Michael Russell located?

Michael Russell practices at 1131 Wilshire Blvd Ste 100, Santa Monica, CA 90401. The listed phone number is (310) 319-3475.

What is Michael Russell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Michael Russell enrolled in Medicare?

Yes. Michael Russell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Russell reassigns Medicare benefits to Covenant Medical Group (Lubbock, TX). 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 Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Russell accept?

Health plans from Baylor Scott and White Health Plan and UnitedHealthcare list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Russell was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.