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THOMAS BENNETT RUSSELL MD
NPI 1770622789
Pediatrics in Charlotte, NC

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 381-9900 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 1 more (4 updates tracked since 2023).

About Thomas Bennett Russell Md NPPES

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

THOMAS BENNETT RUSSELL MD (NPI 1770622789) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2012-01500) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of University Of New Mexico School Of Medicine (2006).

NPPES Registry Identity

NPI1770622789
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHOMAS BENNETT RUSSELLCredential: MD
Location Address1001 BLYTHE BLVDCharlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-9900
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2006
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
✔ NPI 1770622789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2012-01500
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPathology · HematologyTaxonomy 207ZH0000X · License 2012-01500 (NC)
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 2012-01500 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Location 1

Location 11001 Blythe BlvdCharlotte, NC 28203-5866 · Phone (704) 381-9900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Thomas Bennett 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 ID6204084064
PECOS Enrollment IDI20120919000800
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 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

AMANDA MARIE SEBRING MD
Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
HANNA LYN JAKOBEK NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
JANETTA KITCHKO PA
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
NICOLE A. CAGLE RICHARDSON MD
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
GAIL MARGARET HARRIS NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
PAMELA CAROL JACKSON NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
BRITTANY FORREN ROGERS NP
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-1450
MS. RACHAEL LAMERE KAIN PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 446-3350

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 Thomas Russell's NPI number?

The NPI number for Thomas Russell is 1770622789. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Thomas Russell located?

Thomas Russell practices at 1001 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 381-9900.

What is Thomas Russell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Russell enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Russell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Thomas 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 Thomas Russell was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.