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SAMUEL J RUSSELL RPAC
NPI 1902907892
Physician Assistant in Elmira, NY

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
81.01/100
CMS Quality Rating
555 SAINT JOSEPHS BLVD STE M2, ELMIRA, NY 14901(607) 734-7121(607) 734-0614 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2020, Feb 27, 2016 (2 updates tracked since 2016).

About Samuel J Russell Rpac NPPES

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

SAMUEL J RUSSELL RPAC (NPI 1902907892) is an individual physician assistant in Elmira, New York, licensed in New York (009631) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1902907892
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL J RUSSELLCredential: RPAC
Location Address555 SAINT JOSEPHS BLVD STE M2Elmira, NY 14901-3223
Mailing Address571 Saint Josephs BlvdElmira, NY 14901-3230 · (607) 271-2050 · Fax (607) 271-2099
Phone(607) 734-7121
Fax(607) 734-0614
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration
✔ NPI 1902907892 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 NY · 009631
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.
555 SAINT JOSEPHS BLVD STE M2, Elmira, NY 14901
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Other Identifiers 2

Medicaid03180370NY
Medicaid103367933PA

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

Samuel J Russell Rpac 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 ID2365423522
PECOS Enrollment IDI20040525001235
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 6

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.
141 services110 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
135 services102 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
107 services41 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
64 services37 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.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330090
Location600 Roe AvenueElmira, NY 14905 · Chemung County
Emergency services Birthing friendly

Schuyler Hospital

Critical Access Hospitals · Montour Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331313
Location220 Steuben StreetMontour Falls, NY 14865 · Schuyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14901 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

81.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.46
Promoting Interoperability99
Improvement Activities40
Cost65.75

Other Providers at the Same Location NPPES 3

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

REBECCA SUSAN PETTIBONE NP
Nurse Practitioner
555 SAINT JOSEPHS BLVD STE M2
ELMIRA, NY 14901
Chemung County (607) 734-7121
DR. BRUNO ROBERT MAZZA MD
Internal Medicine (Gastroenterology)
555 SAINT JOSEPHS BLVD STE M2
ELMIRA, NY 14901
Chemung County (607) 734-7121
GARY JAMES VALVANO D.O.
Internal Medicine (Gastroenterology)
555 SAINT JOSEPHS BLVD STE M2
ELMIRA, NY 14901
Chemung County (607) 734-7121

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 Samuel Russell's NPI number?

The NPI number for Samuel Russell is 1902907892. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Samuel Russell located?

Samuel Russell practices at 555 Saint Josephs Blvd Ste M2, Elmira, NY 14901. The listed phone number is (607) 734-7121.

What is Samuel Russell's specialty?

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

Is Samuel Russell enrolled in Medicare?

Yes. Samuel 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 Samuel Russell affiliated with any hospitals?

According to CMS data, Samuel Russell is affiliated with Arnot Ogden Medical Center and Schuyler Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Russell was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.