MARC S RUSSO M.D. NPI 1427033927

NPI Information

  • NPI: 1427033927
  • Provider Name: MARC S RUSSO, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 562 W 2ND AVE
    LITITZ, PA
    ZIP 17543
  • Phone: (717) 626-2167

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NPI Details

Marc S Russo, M.D. is a family medicine in Lititz, PA with 37 years of experience. The provider is 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. Marc S Russo, M.D. NPI is 1427033927. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1988

The provider's business location address is:

562 W 2ND AVE
LITITZ, PA
ZIP 17543-816
Phone: (717) 626-2167
Fax: (717) 626-1915

The NPI 1427033927 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, 30-39 minutes (HCPCS:99214)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 12/7/2005 and was last updated on 9/1/2007.

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
1207Q00000XFamily MedicineMD042622LPENNSYLVANIAYes

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
1G05182OTHERPENNSYLVANIAHEALTH ASSURANCE
236691 S1QGOTHERPENNSYLVANIAGEISINGER HEALTH PLAN
30015140170004MEDICAIDPENNSYLVANIA
40015140170001MEDICAIDPENNSYLVANIA
5578413OTHERPENNSYLVANIAAETNA HMO
6775158OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
7P002686OTHERPENNSYLVANIAGATEWAY HEALTH PLAN
8775158JZEMEDICARE PINPENNSYLVANIA
902110901OTHERPENNSYLVANIACAPITAL BLUE CROSS
105487080OTHERPENNSYLVANIAAETNA NON-HMO
11G05182MEDICARE UPINPENNSYLVANIA

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: 3/30/2025

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