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ROBERT T RUSSELL M.D.
NPI 1992813174
Otolaryngology in Bloomington, IL

Active since August 28, 2006PECOS Enrolled
0/100
CMS Quality Rating
1404 EASTLAND DR STE 209, BLOOMINGTON, IL 61701(309) 662-3277(309) 663-0845 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert T Russell M.d. NPPES

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

ROBERT T RUSSELL M.D. (NPI 1992813174) is an individual otolaryngology provider in Bloomington, Illinois, licensed in Illinois (036082417) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992813174
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameROBERT T RUSSELLCredential: M.D.
Location Address1404 EASTLAND DR STE 209Bloomington, IL 61701-7904
Mailing Address1404 Eastland Dr Ste 209Bloomington, IL 61701-7904 · (309) 662-3277 · Fax (309) 663-0845
Phone(309) 662-3277
Fax(309) 663-0845
Sole ProprietorYes
Enumeration DateAugust 28, 2006
Last NPPES UpdateOctober 20, 2015
✔ NPI 1992813174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 036082417
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1404 EASTLAND DR STE 209, Bloomington, IL 61701
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Other Identifiers 5

Medicaid036082417IL
Medicare ID-Type Unspecified341330
Medicare UPINF76969
Medicare PINK46938
Other05700224Blu Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert T 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.

Areas of Expertise CMS Part B claims 10

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 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.
602 services341 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
417 services239 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
411 services213 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
281 services235 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
264 services232 patients
Exam of the nose and throat using an endoscope 92511
An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.
147 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

LISA BAER
Audiologist-Hearing Aid Fitter
1404 EASTLAND DR STE 209
BLOOMINGTON, IL 61701
McLean County (309) 662-3277
BLOOMINGTON NORMAL EAR NOSE THROAT LTD
Otolaryngology
1404 EASTLAND DR STE 209
BLOOMINGTON, IL 61701
McLean County (306) 662-3277
THOMAS C OCHELTREE M.D.
Otolaryngology
1404 EASTLAND DR STE 209
BLOOMINGTON, IL 61701
McLean County (309) 662-3277

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 Robert Russell's NPI number?

The NPI number for Robert Russell is 1992813174. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Robert Russell located?

Robert Russell practices at 1404 Eastland Dr Ste 209, Bloomington, IL 61701. The listed phone number is (309) 662-3277.

What is Robert Russell's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Robert Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Russell was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.