DR. PAUL J RUSSINKO M.D.
NPI 1720041981
Urology in Lancaster, PA

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
2106 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601(717) 393-1771(717) 393-2782 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul J Russinko M.d. NPPES

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

DR. PAUL J RUSSINKO M.D. (NPI 1720041981) is an individual urology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD426210) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Lititz, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1996).

NPPES Registry Identity

NPI1720041981
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PAUL J RUSSINKOCredential: M.D.
Location Address2106 HARRISBURG PIKE, SUITE 200Lancaster, PA 17601-2644
Mailing AddressPo Box 3200Lancaster, PA 17604-3200 · (717) 393-1771 · Fax (717) 393-2782
Fax(717) 393-2782
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1996
Enumeration DateApril 10, 2006
Last NPPES UpdateAugust 21, 2007
NPI 1720041981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in PA · MD426210
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2106 HARRISBURG PIKE, Lancaster, PA 17601

Other Identifiers 3

Medicaid101268847/0001PA
Medicare UPINI29376PA
Medicare ID-Type Unspecified090840FUKPA

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. Paul J Russinko M.d. 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 ID8628010170
PECOS Enrollment IDI20050525000720
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.

Areas of Expertise CMS Part B claims 41

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
9,200 services77 patients
Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
3,318 services73 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,670 services39 patients
Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
2,360 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,292 services1,017 patients
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.
1,054 services853 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 88% · 34 patients
89%35 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
94%497 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%494 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
94%98 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier33 claims35 services$4.51 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier24 claims24 services$10.25 avg. paid by Medicare
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$26.37 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers18 claims3,840 services$6.21 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers33 claims41 services$8.49 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier41 claims47 services$6.30 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 20

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

Urology
2106 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Urology
2106 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Urology
2106 HARRISBURG PIKE, SUTE 200
LANCASTER, PA 17601
Nurse Practitioner (Pediatrics)
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Internal Medicine (Infectious Disease)
2106 HARRISBURG PIKE, SUITE 301
LANCASTER, PA 17601
Pediatrics
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Nurse Practitioner (Pediatrics)
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Pediatrics
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601

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 Paul Russinko's NPI number?

The NPI number for Paul Russinko is 1720041981. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Paul Russinko located?

Paul Russinko practices at 2106 Harrisburg Pike Suite 200, Lancaster, PA 17601. The listed phone number is (717) 393-1771.

What is Paul Russinko's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Russinko enrolled in Medicare?

Yes. Paul Russinko 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 Paul Russinko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Russinko 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 Paul Russinko affiliated with any hospitals?

According to CMS data, Paul Russinko is affiliated with Upmc Lititz, Penn State Health St. Joseph, Lancaster General Hospital, Wellspan Ephrata Community Hospital and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Russinko was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.