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DR. KIRK SHANE RUSSELL M.D.
NPI 1912075631
Radiology - Vascular & Interventional Radiology in Fort Liberty, NC

Active since December 01, 2006PECOS Enrolled
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310(910) 907-8707(910) 907-8707 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 19, 2023, Dec 10, 2015 (2 updates tracked since 2015).

About Dr. Kirk Shane Russell M.d. NPPES

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

DR. KIRK SHANE RUSSELL M.D. (NPI 1912075631) is an individual vascular & interventional radiology provider in Fort Liberty, North Carolina, licensed in North Carolina (2014-02064) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912075631
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. KIRK SHANE RUSSELLCredential: M.D.
Location AddressWOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVEFort Liberty, NC 28310-6644
Mailing AddressWomack Army Medical Center 2817 Rock Merritt AveFort Liberty, NC 28310-0001 · (910) 907-8707
Phone(910) 907-8707
Fax(910) 907-8707
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1912075631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in NC · 2014-02064
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 230324 (NY), 2014-02064 (NC)
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE, Fort Liberty, NC 28310
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Other Identifiers 1

Medicaid1912075631NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kirk Shane Russell M.d. 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 28310 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%62 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. TIFFANY HOI-YAN PIKE-LEE MD
Psychiatry & Neurology (Neuromuscular Medicine)
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 643-1923
DANIEL EARL BOLAND DMD
Dentist (General Practice)
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-6000
DR. JOHN PATRICK CARNEY
Dentist
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
DR. MICHAEL EUGENE STREET PT, DPT
Physical Therapist
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8707
DR. HILLARIE ANN SAUL-ROTHMAN MD
Radiology (Diagnostic Radiology)
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-7700
JOSHUA ANDREW DAVIS M.D.
Family Medicine
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Cumberland County (706) 544-2041
HEATH WILLIAM BRACE DMD
Dentist (General Practice)
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (706) 691-1702
DR. DONALD E KIMBLER JR. CRNA, PHD
Nurse Anesthetist, Certified Registered
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922

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 Kirk Russell's NPI number?

The NPI number for Kirk Russell is 1912075631. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kirk Russell located?

Kirk Russell practices at Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, NC 28310. The listed phone number is (910) 907-8707.

What is Kirk Russell's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Kirk Russell enrolled in Medicare?

Yes. Kirk Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kirk Russell was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.