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EDGAR RUSSELL D.O.
NPI 1790707156
Family Medicine - Adult Medicine in Riverside, CA

Active since July 24, 2006PECOS Enrolled
6276 RIVER CREST DR, RIVERSIDE, CA 92507(951) 413-0964(951) 653-5161 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgar Russell D.o. NPPES

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

EDGAR RUSSELL D.O. (NPI 1790707156) is an individual adult medicine provider in Riverside, California, licensed in California (20A6100) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790707156
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameEDGAR RUSSELLCredential: D.O.
Location Address6276 RIVER CREST DRRiverside, CA 92507-0754
Mailing Address1413 Calle De OroSan Dimas, CA 91773-4015 · (909) 592-4566 · Fax (909) 576-6904
Phone(951) 413-0964
Fax(951) 653-5161
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1790707156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · 20A6100
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
6276 RIVER CREST DR, Riverside, CA 92507
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ37592ZCA · Medicare Group Number
Medicare UPINE54737CA
MedicaidGR0086790CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Russell D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Edgar Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthpointe Medical Group, Inc.
9.1 mi
Specialist
290 N 10TH ST, SUITE 100
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1073703377 (California)
  • 48 clinicians in this Medicare group
NPI 1063787380 (909) 264-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92507 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 17

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

HAIDER SPINE CENTER MEDICAL GROUP INC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
6276 RIVER CREST DR
RIVERSIDE, CA 92507
Riverside County (952) 141-3020
UNIVERSITY SURGERY CENTER, INC
Clinic/Center (Ambulatory Surgical)
6276 RIVER CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 413-0200
THOMAS T HAIDER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
6276 RIVER CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 413-0200
DENNIS E CRAMER DO
Neurological Surgery
6276 RIVER CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 413-0200
HAIDER SPINE CENTER
Clinic/Center (Pain)
6276 RIVER CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 413-0225
RIVERCREST MRI, INC.
Clinic/Center (Magnetic Resonance Imaging (MRI))
6276 RIVER CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 413-0979
DR. BABAK RAZAGHI KHAMSI M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
6276 RIVER CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 413-0200
SEYEDAMIR SHERAFAT DC
Chiropractor (Orthopedic)
6276 RIVER CREST DR
RIVERSIDE, CA 92507
Riverside County (951) 413-0964

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 Edgar Russell's NPI number?

The NPI number for Edgar Russell is 1790707156. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Edgar Russell located?

Edgar Russell practices at 6276 River Crest Dr, Riverside, CA 92507. The listed phone number is (951) 413-0964.

What is Edgar Russell's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Edgar Russell enrolled in Medicare?

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

Which organization bills Medicare for Edgar Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Russell reassigns Medicare benefits to Healthpointe Medical Group, Inc. (Colton, CA). The 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 Edgar Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edgar Russell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.