Jacob Russell, DO
NPI 1417318361 · Emergency Medicine Physician · Surprise, AZ
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Russell, DO is a Emergency Medicine Physician provider in Surprise, AZ (NPI 1417318361).
Provider details
- NPI number
- 1417318361
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 3749 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
402 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 159 | $115 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 120 | $167 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 57 | $68 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 51 | $8 |
| Critical Care, First 30-74 Minutes99291 | 15 | $203 |
Typical Medicare-allowed amounts for these services range $8–$203 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 47 | 47 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 29 | 28 |
| Azithromycin | 25 | 24 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 23 | 23 |
| Ciprofloxacin Hcl | 21 | 21 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 21 | 21 |
| Methylprednisolone | 19 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 15855 19 Mile RdClinton Township, MI 48038-3504Phone: (586) 263-2300
- 294 Summar DrJackson, TN 38301-3915Phone: (731) 265-8220
- 620 Skyline DrJackson, TN 38301Phone: (731) 541-5000
Registry dates
- Enumerated
- 2016-03-18
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Frequently asked questions
- What is Jacob Russell's NPI number?
- Jacob Russell's National Provider Identifier (NPI) is 1417318361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Russell's specialty?
- Jacob Russell is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacob Russell located?
- Jacob Russell's practice location on file with NPPES is 16815 W Bell Rd, Surprise, AZ 85374-2101.
- What is Jacob Russell's phone number?
- The practice phone number listed in the NPPES registry for Jacob Russell is (602) 833-6900.
- Does Jacob Russell accept Medicare?
- Jacob Russell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Russell's NPI active?
- Yes — Jacob Russell's NPI (1417318361) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.