GARRETT MICHAEL RUSSELL PA-C
NPI 1831754308
Physician Assistant in Coudersport, PA

Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment
85.99/100
CMS Quality Rating
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-7474 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2021, Sep 12, 2019, May 9, 2019 (3 updates tracked since 2019).

About Garrett Michael Russell Pa-c NPPES

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

GARRETT MICHAEL RUSSELL PA-C (NPI 1831754308) is an individual physician assistant in Coudersport, Pennsylvania, licensed in Pennsylvania (MA060807) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Upmc Cole, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831754308
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGARRETT MICHAEL RUSSELLCredential: PA-C
Location Address1001 E 2ND STCoudersport, PA 16915-8161
Mailing Address1001 E 2nd StCoudersport, PA 16915-8161 · (814) 274-7474
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 9, 2019
Last NPPES UpdateApril 2, 20213 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
NPI 1831754308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA060807
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1001 E 2ND ST, Coudersport, PA 16915

Other Identifiers 1

OtherMA060807PA · License Number

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

Garrett Michael Russell Pa-c 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 ID5395073522
PECOS Enrollment IDI20190826001272
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.

Hospital Affiliations CMS Care Compare

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

Upmc Cole

Critical Access Hospitals · Coudersport, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391313
Location1001 East Second StreetCoudersport, PA 16915 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16915 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.18
Promoting Interoperability100
Improvement Activities40
Cost70.12

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.

Specialist/Technologist (Athletic Trainer)
1001 E 2ND ST
COUDERSPORT, PA 16915
Psychiatric Unit
1001 E 2ND ST
COUDERSPORT, PA 16915
Rehabilitation Unit
1001 E 2ND ST
COUDERSPORT, PA 16915
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1001 E 2ND ST
COUDERSPORT, PA 16915
Internal Medicine (Gastroenterology)
1001 E 2ND ST
COUDERSPORT, PA 16915
Social Worker
1001 E 2ND ST
COUDERSPORT, PA 16915
Social Worker (Clinical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physical Medicine & Rehabilitation
1001 E 2ND ST
COUDERSPORT, PA 16915

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 Garrett Russell's NPI number?

The NPI number for Garrett Russell is 1831754308. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Where is Garrett Russell located?

Garrett Russell practices at 1001 E 2nd St, Coudersport, PA 16915. The listed phone number is (814) 274-7474.

What is Garrett Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Garrett Russell enrolled in Medicare?

Yes. Garrett 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.

Is Garrett Russell affiliated with any hospitals?

According to CMS data, Garrett Russell is affiliated with Upmc Cole.

When was this NPI record last updated?

The NPPES record for Garrett Russell was last updated on April 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.