DR. GREGORY SCOTT RUSSELL DMD
NPI 1760452890
Dentist - Endodontics in Berlin, MD

Active since January 23, 2006PECOS Enrolled
11200 RACETRACK RD STE 204, BERLIN, MD 21811(410) 208-3333(410) 208-3330 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Scott Russell Dmd NPPES

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

DR. GREGORY SCOTT RUSSELL DMD (NPI 1760452890) is an individual endodontics provider in Berlin, Maryland, licensed in Maryland (13423) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760452890
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. GREGORY SCOTT RUSSELLCredential: DMD
Location Address11200 RACETRACK RD STE 204Berlin, MD 21811-3808
Mailing Address11200 Racetrack Rd Ste 204Berlin, MD 21811-3808 · (410) 208-3333 · Fax (410) 208-3330
Fax(410) 208-3330
Sole ProprietorYes
Enumeration DateJanuary 23, 2006
Last NPPES UpdateDecember 23, 2014
NPI 1760452890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in MD · 13423
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
11200 RACETRACK RD STE 204, Berlin, MD 21811

Other Identifiers 1

Other13423MD · Maryand License Number

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 (PECOS)

Dr. Gregory Scott Russell Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21811 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Other Providers at the Same Location NPPES

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

Dentist (Endodontics)
11200 RACETRACK RD STE 204
BERLIN, MD 21811

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 Gregory Russell's NPI number?

The NPI number for Gregory Russell is 1760452890. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Gregory Russell located?

Gregory Russell practices at 11200 Racetrack Rd Ste 204, Berlin, MD 21811. The listed phone number is (410) 208-3333.

What is Gregory Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Gregory Russell enrolled in Medicare?

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

What insurance does Gregory Russell accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Gregory 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 Gregory Russell was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.