DR. DOROTHY MARQUITA YOLANDA RUSS M.D.
NPI 1922395722
Family Medicine in Jacksonville, FL

Q: What is Dorothy Russ's NPI number?

The NPI number for Dorothy Russ is 1922395722. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Q: What is Dorothy Russ's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dorothy Russ was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment

2 SHIRCLIFF WAY STE 900, JACKSONVILLE, FL 32204(904) 381-9651(904) 389-9319 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Dorothy Marquita Yolanda Russ M.d. NPPES

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

DR. DOROTHY MARQUITA YOLANDA RUSS M.D. (NPI 1922395722) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME116132) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2011).

NPPES Registry Identity

NPI1922395722

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DOROTHY MARQUITA YOLANDA RUSSCredential: M.D.

Location Address2 SHIRCLIFF WAY STE 900Jacksonville, FL 32204-4753

Mailing Address8390 Champions Gate Blvd Ste 215Champions Gate, FL 33896-8310 · (321) 401-1366

Phone(904) 381-9651

Fax(904) 389-9319

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 2011

Enumeration DateJune 30, 2011

Last NPPES UpdateMarch 5, 2019

✔ NPI 1922395722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME116132

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 SHIRCLIFF WAY STE 900, Jacksonville, FL 32204

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Other Identifiers 1

Medicaid014862700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.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

Dr. Dorothy Marquita Yolanda Russ 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 ID244464550

PECOS Enrollment IDI20250721003852

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 32204 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

57%60 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

31%83 patients2/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier11 claims440 services$4.92 avg. paid by Medicare

Ostomy ring, each A4404

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$1.62 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

1 supplier11 claims44 services$5.52 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier11 claims330 services$6.00 avg. paid by Medicare

Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each A4413

DME-Orthotic Devices · category DF010N

1 supplier11 claims330 services$5.32 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier11 claims550 services$0.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MS. LINDA THERESA RICHO ARNP

Nurse Practitioner (Family)