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DAWN R RUSSELL M.D.
NPI 1790892024
Obstetrics & Gynecology in Kirkland, WA

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
12303 NE 130TH LN, SUITE #420, KIRKLAND, WA 98034(425) 899-6400(425) 899-4490 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dawn R Russell M.d. NPPES

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

DAWN R RUSSELL M.D. (NPI 1790892024) is an individual obstetrics & gynecology provider in Kirkland, Washington, licensed in Washington (MD39840) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1997).

NPPES Registry Identity

NPI1790892024
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDAWN R RUSSELLCredential: M.D.
Location Address12303 NE 130TH LN, SUITE #420Kirkland, WA 98034
Mailing Address12303 Ne 130th Ln, Suite #420Kirkland, WA 98034-3099 · (425) 899-6400 · Fax (425) 899-4490
Phone(425) 899-6400
Fax(425) 899-4490
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1997
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 10, 2018
✔ NPI 1790892024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WA · MD39840
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 81225 (GA)
12303 NE 130TH LN, Kirkland, WA 98034
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Other Identifiers 1

Medicaid1113158WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dawn R Russell M.d. 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 ID7315985926
PECOS Enrollment IDI20190212001744
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 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.
29 services24 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

MS. XUEMEI SU ARNP
Nurse Practitioner (Family)
12303 NE 130TH LN, STE400
KIRKLAND, WA 98034
King County (425) 899-4692
ROLIN ALAN PRUYN PA-C
Physician Assistant (Medical)
12303 NE 130TH LN, SUITE 550
KIRKLAND, WA 98034
King County (425) 899-6972
WAYNE L HILL MD
Specialist
12303 NE 130TH LN, SUITE 400
KIRKLAND, WA 98034
King County (425) 899-4000
DR. JOHN PAUL ISBELL M.D
Obstetrics & Gynecology
12303 NE 130TH LN, STE 400
KIRKLAND, WA 98034
King County (425) 899-4692
MS. CAROL ANN VERGA CNM, ARNP
Nurse Practitioner (Obstetrics & Gynecology)
12303 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
King County (425) 899-4455
LYNN DAVIDSON R.N.
Counselor
12303 NE 130TH LN, STE 420
KIRKLAND, WA 98034
King County (425) 899-6400
CHARLES H HEFFRON JR. M.D.
Obstetrics & Gynecology (Gynecology)
12303 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
King County (425) 899-6400
DR. SCOTT JACOB OSTRIKER PHARM.D.
Pharmacist (Pharmacotherapy)
12303 NE 130TH LN, SUITE120
KIRKLAND, WA 98034
King County (425) 899-3191

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 Dawn Russell's NPI number?

The NPI number for Dawn Russell is 1790892024. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Dawn Russell located?

Dawn Russell practices at 12303 NE 130th Ln Suite #420, Kirkland, WA 98034. The listed phone number is (425) 899-6400.

What is Dawn Russell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dawn Russell enrolled in Medicare?

Yes. Dawn 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 Dawn Russell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Dawn 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 Dawn Russell affiliated with any hospitals?

According to CMS data, Dawn Russell is affiliated with Emory University Hospital Midtown and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Dawn Russell was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.