Peter Russo, PA
NPI 1588729941 · Physician Assistant · Stockton, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Russo, PA is a Physician Assistant provider in Stockton, CA (NPI 1588729941).
Provider details
- NPI number
- 1588729941
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA14699 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
13 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 13 | $78 |
Typical Medicare-allowed amounts for these services range $78–$78 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2015-04-10
Frequently asked questions
- What is Peter Russo's NPI number?
- Peter Russo's National Provider Identifier (NPI) is 1588729941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Russo's specialty?
- Peter Russo is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Peter Russo located?
- Peter Russo's practice location on file with NPPES is 2545 W Hammer Ln, Stockton, CA 95209-2839.
- What is Peter Russo's phone number?
- The practice phone number listed in the NPPES registry for Peter Russo is (209) 957-7050.
- Does Peter Russo accept Medicare?
- Peter Russo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Russo's NPI active?
- Yes — Peter Russo's NPI (1588729941) is active in the NPPES registry as of the last update on 2015-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.