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COLLIN RUSSELL MD
NPI 1730686189
Emergency Medicine in Saint Louis, MO

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
88.92/100
CMS Quality Rating
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-1928 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Apr 11, 2018 (2 updates tracked since 2018).

About Collin Russell Md NPPES

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

COLLIN RUSSELL MD (NPI 1730686189) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2023025223) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1730686189
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCOLLIN RUSSELLCredential: MD
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address3691 Rutger St Rm 137Saint Louis, MO 63110-2515
Phone(314) 977-1928
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2020
Enumeration DateApril 11, 2018
Last NPPES UpdateMay 28, 20242 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1730686189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2023025223
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1201 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-5300

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

Collin Russell Md 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 ID9638596844
PECOS Enrollment IDI20240828001908
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
71 services70 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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.

88.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.72
Promoting Interoperability100
Improvement Activities40
Cost45.01

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.

DOUG LONGO APRN
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
JOHN JOSEPH HOUSER
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
NABIHA NOOR SHAMSHUDDIN MD
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
AMAN PATEL
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
MS. KEELEY FERRELL RYAN PA-C
Physician Assistant
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-1320
PATRICK SWEENEY
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
DR. SHAMEELA NASRULLAH KHIMANI MD
Pediatrics
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3239
IBRAHIM SHAMASNEH M.D.
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000

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 Collin Russell's NPI number?

The NPI number for Collin Russell is 1730686189. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Collin Russell located?

Collin Russell practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-1928.

What is Collin Russell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Collin Russell enrolled in Medicare?

Yes. Collin Russell 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.

Is Collin Russell affiliated with any hospitals?

According to CMS data, Collin Russell is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Collin Russell was last updated on May 28, 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.