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GREGORY A. RUSSELL MD
NPI 1992770515
Family Medicine in Midland, NC

Active since February 17, 2006PECOS Enrolled
95.35/100
CMS Quality Rating
12925 HIGHWAY 601, STE 300, MIDLAND, NC 28107(704) 888-3702 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 47 more (50 updates tracked since 2017).

About Gregory A. Russell Md NPPES

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

GREGORY A. RUSSELL MD (NPI 1992770515) is an individual family medicine provider in Midland, North Carolina, licensed in North Carolina (2010-01130) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992770515
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY A. RUSSELLCredential: MD
Location Address12925 HIGHWAY 601, STE 300Midland, NC 28107-9535
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 888-3702
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2002
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 15, 202450 updates tracked since enumeration
✔ NPI 1992770515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2010-01130
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.
12925 HIGHWAY 601, Midland, NC 28107
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Secondary Practice Locations 2

Location 110620 Park Rd, Ste 202Charlotte, NC 28210-8472 · Phone (704) 667-0920
Location 2704 Gold Hill Rd, Ste 1200Fort Mill, SC 29715-8906 · Phone (704) 667-3380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory A. Russell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789618802
PECOS Enrollment IDI20101004001106, I20210608003120
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 11

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.
353 services141 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.
72 services62 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
62 services18 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
47 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
44 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28107 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims42 services$5.99 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims37 services$3.19 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$44.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers32 claims32 services$185.39 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 9

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

TRICIA SPINNER PA
Physician Assistant
12925 HIGHWAY 601, MIDLAND FAMILY MEDICINE
MIDLAND, NC 28107
Cabarrus County (704) 888-3702
CAROLINAS MEDICAL CENTER-NORTHEAST
Family Medicine
12925 HIGHWAY 601, SUITE 300
MIDLAND, NC 28107
Cabarrus County (704) 888-3702
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Family Medicine
12925 HIGHWAY 601, STE 300
MIDLAND, NC 28107
Cabarrus County (704) 888-3702
NICOLE DESCHENES
Nurse Practitioner
12925 HIGHWAY 601, SUITE 300
MIDLAND, NC 28107
Cabarrus County (704) 888-3702
DR. JOHN JAMES WIERZBICKI D.O.
Family Medicine
12925 HIGHWAY 601, SUITE B MIDLAND FAMILY MEDICINE
MIDLAND, NC 28107
Cabarrus County (704) 888-3702
EYEOPTIX OD, PA
Optometrist
12925 HIGHWAY 601
MIDLAND, NC 28107
Cabarrus County (704) 888-3937
AMANDA RENEE NUNEZ FNP
Nurse Practitioner (Family)
12925 HIGHWAY 601, STE 300
MIDLAND, NC 28107
Cabarrus County (704) 888-3702
MS. EDITH ELAINE CLOUD MD
Family Medicine
12925 HIGHWAY 601, MIDLAND FAMILY MEDICINE
MIDLAND, NC 28107
Cabarrus County (704) 888-3702

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 Gregory Russell's NPI number?

The NPI number for Gregory Russell is 1992770515. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Gregory Russell located?

Gregory Russell practices at 12925 Highway 601 Ste 300, Midland, NC 28107. The listed phone number is (704) 888-3702.

What is Gregory Russell's specialty?

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

Is Gregory Russell enrolled in Medicare?

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

What insurance does Gregory Russell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Gregory Russell 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.

Is Gregory Russell affiliated with any hospitals?

According to CMS data, Gregory Russell is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gregory Russell was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.