RUSSELL SHARPSWAIN DO
NPI 1861611634
Emergency Medicine in Madison, WI
About Russell Sharpswain Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSELL SHARPSWAIN DO (NPI 1861611634) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Wisconsin (50216-021) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Russell Sharpswain Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Russell Sharpswain reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 103 clinicians in this Medicare group
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- 132 clinicians in this Medicare group
Dodgeville, WI 53533
- Reassigned Medicare billing, Wisconsin enrollment
- 130 clinicians in this Medicare group
Reedsburg, WI 53959
- Reassigned Medicare billing, Wisconsin enrollment
- 96 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Emergency Medicine Specialists Sc
- 244 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MADISON, WI 53715
MADISON, WI 53715
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 Russell Sharpswain's NPI number?
The NPI number for Russell Sharpswain is 1861611634. It was assigned to this individual provider in the NPPES registry on April 24, 2007.
Where is Russell Sharpswain located?
Russell Sharpswain practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 251-6100.
What is Russell Sharpswain's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Russell Sharpswain enrolled in Medicare?
Yes. Russell Sharpswain is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Russell Sharpswain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Russell Sharpswain reassigns Medicare benefits to 5 organizations: Madison Emergency Physicians, Sc (Madison, WI), Prairie Ridge Health, Inc. (Columbus, WI), Upland Hills Health, Inc. (Dodgeville, WI), Reedsburg Area Medical Center, Inc. (Reedsburg, WI) and Emergency Medicine Specialists, S.C. (Milwaukee, WI). Each 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 Russell Sharpswain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Russell Sharpswain accept?
Health plans from CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Russell Sharpswain 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.
When was this NPI record last updated?
The NPPES record for Russell Sharpswain was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Russell Sharpswain, DO · NPI 1861611634
Emergency Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 24, 2007.
## Identity
- **NPI:** 1861611634 (Entity type: Individual)
- **Enumerated:** April 24, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 50216-021 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 S PARK ST, Madison, WI 53715-1830
- **Phone:** (608) 251-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Madison Emergency Physicians, Sc (NPI 1588646095, Madison, WI); Prairie Ridge Health, Inc. (NPI 1841376183, Columbus, WI); Upland Hills Health, Inc. (NPI 1487745501, Dodgeville, WI); Reedsburg Area Medical Center, Inc. (NPI 1457780983, Reedsburg, WI); Emergency Medicine Specialists, S.C. (NPI 1568413524, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1861611634) · Data from the CMS NPPES public registry.