COLLIN RUSSELL MD
NPI 1730686189
Emergency Medicine in Saint Louis, MO
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 Memorial Mission Hospital And Asheville Surgery Ce, and maintains a secondary practice location in Charlotte.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Collin Russell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport, TN 37821
- Reassigned Medicare billing, North Carolina enrollment
- 557 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
Davidson, NC 28036
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Mission Hospital And Asheville Surgery Ce
Acute Care Hospitals · Asheville, NCThe Mcdowell Hospital
Acute Care Hospitals · Marion, NCCarolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician 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.
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.
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.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
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.
Which organizations bill Medicare for Collin Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Collin Russell reassigns Medicare benefits to 3 organizations: Emergency Coverage, LLC (Newport, TN), Wake Forest Emergency Providers (Statesville, NC) and Carolinas Medical Center (Davidson, NC). 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 Collin Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Collin Russell affiliated with any hospitals?
According to CMS data, Collin Russell is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, The Mcdowell Hospital and 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.
# Collin Russell, MD · NPI 1730686189
Emergency Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1730686189 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2023025223 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 S GRAND BLVD, Saint Louis, MO 63104-1016
- **Phone:** (314) 977-1928
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Coverage, LLC (NPI 1427005008, Newport, TN); Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC); Carolinas Medical Center (NPI 1629412184, Davidson, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** May 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730686189) · Data from the CMS NPPES public registry.