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

Q: 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.

Q: What is Edgar Russell's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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

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Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ37592ZCA · Medicare Group Number

Medicare UPINE54737CA

MedicaidGR0086790CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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