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PETER DAMON RUSSOTTO DPM
NPI 1770576829
Podiatrist in Jacksonville, IL

Active since August 24, 2005
1440 W WALNUT ST, #5, JACKSONVILLE, IL 62650(217) 243-3668 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Peter Damon Russotto Dpm NPPES

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

PETER DAMON RUSSOTTO DPM (NPI 1770576829) is an individual podiatrist in Jacksonville, Illinois and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1770576829
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NamePETER DAMON RUSSOTTOCredential: DPM
Location Address1440 W WALNUT ST, #5Jacksonville, IL 62650-1143
Mailing Address1440 W Walnut St, #5Jacksonville, IL 62650-1143 · (217) 243-3668 · Fax (217) 245-1923
Phone(217) 243-3668
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1770576829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1440 W WALNUT ST, Jacksonville, IL 62650
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Areas of Expertise CMS Part B claims 8

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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
149 services24 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
114 services44 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.
49 services25 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.
44 services28 patients
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.
37 services37 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
34 services19 patients

Other Providers at the Same Location NPPES 9

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

ABBY G HENRY PT
Physical Therapist
1440 W WALNUT ST, #2
JACKSONVILLE, IL 62650
Morgan County (217) 245-1455
PHYSICAL THERAPISTS CLINIC, LTD
Durable Medical Equipment & Medical Supplies
1440 W WALNUT ST, SUITE2
JACKSONVILLE, IL 62650
Morgan County (217) 245-1325
CURT E KEIM PT
Physical Therapist
1440 W WALNUT ST, #2
JACKSONVILLE, IL 62650
Morgan County (217) 245-1455
CENTRAL COUNTIES HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1440 W WALNUT ST, SUITE 2
JACKSONVILLE, IL 62650
Morgan County (217) 788-2300
LINDA V STEVENS-SCHILSKY M.D.
Pediatrics
1440 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-3543
MRS. AMY JO BLANFORD PT
Physical Therapist
1440 W WALNUT ST, BUILDING #2
JACKSONVILLE, IL 62650
Morgan County (217) 245-1455
VERBAL ARTHUR MORROW PT
Physical Therapist
1440 W WALNUT ST, #2
JACKSONVILLE, IL 62650
Morgan County (217) 245-1455
PHYSICAL THERAPISTS CLINIC,LTD
Clinic/Center (Physical Therapy)
1440 W WALNUT ST, SUITE 2
JACKSONVILLE, IL 62650
Morgan County (217) 245-1455

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 Peter Russotto's NPI number?

The NPI number for Peter Russotto is 1770576829. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Peter Russotto located?

Peter Russotto practices at 1440 W Walnut St #5, Jacksonville, IL 62650. The listed phone number is (217) 243-3668.

What is Peter Russotto's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Peter Russotto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.