KIMBERLY RUSSELL MD NPI 1326305905

NPI Information

  • NPI: 1326305905
  • Provider Name: KIMBERLY RUSSELL, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35 PEARL ST STE 100
    BROCKTON, MA
    ZIP 02301
  • Phone: (508) 588-8034

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NPI Details

Kimberly Russell, MD is an otolaryngology in Brockton, MA with 9 years of experience. The provider is 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. Kimberly Russell, MD NPI is 1326305905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

35 PEARL ST STE 100
BROCKTON, MA
ZIP 02301-866
Phone: (508) 588-8034
Fax: (508) 588-5969

The NPI 1326305905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Exam of ear using a microscope (HCPCS:92504)
  • Test to assess middle ear function (HCPCS:92567)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exam to assess movement of vocal cord flaps using an endoscope (HCPCS:31579)
  • Complex control of nose bleed (HCPCS:30903)
  • Incision of eardrum with insertion of eardrum tube under local or topical anesthesia (HCPCS:69433)
  • Evaluation and recording of swallowing using an endoscope (HCPCS:92612)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Placement of ear probe for computerized measurement of sound with interpretation and report (HCPCS:92587)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Test for hearing various pitches using earphone (HCPCS:92552)
  • Test for ability to detect and repeat spoken words with speech recognition (HCPCS:92556)

The enumeration date for this NPI number is 4/19/2012 and was last updated on 4/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology269874MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110102733AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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