Kerry Bruce Russell, D.C., C.C.S.P.
NPI 1093714222ActiveIndividual· Chiropractor, Sports Physician· Traverse City, MI
Chiropractor, Sports Physician (D.C., C.C.S.P.) in Traverse City, Michigan, trained at National College of Chiropractic (class of 1996). Medicare paid $22,437 for services to 74 patients in 2024.
Overview
| NPI | 1093714222 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C., C.C.S.P. |
| Sole proprietor | Yes |
| NPI issued | Jul 19, 2005 |
| Last updated in NPPES | Sep 9, 2011 |
| Reactivated | Mar 24, 2006 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Sports Physician Primary | 111NS0005X | KR007665 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 889 across 2 procedure codes |
| Paid by Medicare | $22,437 |
Education and affiliations
| Medical school | National College of Chiropractic |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Chiropractic |
Medical group
- Russell Chiropractic, PLCTraverse City, MI · 3 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records