DR. MICHAEL EDWARD RUSSELL MD NPI 1720076052

NPI Details

DR. Michael Edward Russell, MD is an orthopaedic surgery of the spine orthopaedic surgery in Tyler, TX with 35 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Michael Edward Russell, MD NPI is 1720076052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1991

The provider's business location address is:

3414 GOLDEN RD
TYLER, TX
ZIP 75701-336
Phone: (903) 939-7500
Fax: (903) 939-7728

The NPI 1720076052 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.

• Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
• Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
• Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
• Fusion of additional segment of spine (HCPCS:22614)
• Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
• Fusion of spine in lower back (HCPCS:22612)
• Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
• Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
• Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
• Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
• Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
• X-ray of middle spine, 2 views (HCPCS:72070)
• Treatment of broken lower spine bone with placement of stabilizing device (HCPCS:22514)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Spinal fusion (HCPCS:NAN02)
• Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 10/11/2005 and was last updated on 4/22/2025.

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: