NPI Details
Jeremy W Russell, D.O. is an orthopaedic surgery in Wausau, WI with 20 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Jeremy W Russell, D.O. NPI is 1376756924. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2005
The provider's business location address is:
3901 STEWART AVE
WAUSAU, WI
ZIP 54401-948
Phone: (715) 907-0900
Fax: (715) 803-6977
The NPI 1376756924 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.
- X-ray of knee, 3 views (HCPCS:73562)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- X-ray of knee, 4 or more views (HCPCS:73564)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- X-ray of knee, 1-2 views (HCPCS:73560)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
The enumeration date for this NPI number is 5/8/2007 and was last updated on 3/14/2024.
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 |
| 1 | 207X00000X | Orthopaedic Surgery | | 55775 | WISCONSIN | Yes |
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 |
| 1 | 100016494 | MEDICAID | WISCONSIN | |
