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TELLY R RUSSELL MD
NPI 1780978338
Family Medicine in Maple Valley, WA

Active since May 31, 2011PECOS EnrolledAccepts Medicare Assignment
26458 MAPLE VALLEY BLACK DIAMOND RD SE STE A, MAPLE VALLEY, WA 98038(425) 690-3465(425) 690-9460 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Telly R Russell Md NPPES

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

TELLY R RUSSELL MD (NPI 1780978338) is an individual family medicine provider in Maple Valley, Washington, licensed in Washington (MD60403590) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Georgetown University School Of Medicine (2011).

NPPES Registry Identity

NPI1780978338
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTELLY R RUSSELLCredential: MD
Location Address26458 MAPLE VALLEY BLACK DIAMOND RD SE STE AMaple Valley, WA 98038-8350
Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057-4970 · (425) 690-2715
Phone(425) 690-3465
Fax(425) 690-9460
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2011
Enumeration DateMay 31, 2011
Last NPPES UpdateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
✔ NPI 1780978338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60403590
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License MD60403590 (WA)
26458 MAPLE VALLEY BLACK DIAMOND RD SE STE A, Maple Valley, WA 98038
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Other Identifiers 2

Medicaid2020725WA
OtherG8930107WA · Medicare W Valley Medical Group - Renton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Telly R 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 ID2163648635
PECOS Enrollment IDI20140719000121
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.

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.
38 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services30 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98038 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Telly Russell's NPI number?

The NPI number for Telly Russell is 1780978338. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Telly Russell located?

Telly Russell practices at 26458 Maple Valley Black Diamond Rd SE Ste A, Maple Valley, WA 98038. The listed phone number is (425) 690-3465.

What is Telly Russell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Telly Russell enrolled in Medicare?

Yes. Telly 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 Telly Russell accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Telly 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.

Is Telly Russell affiliated with any hospitals?

According to CMS data, Telly Russell is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Telly Russell was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.