Jacob Robert Russell, DO
NPI 1417318361ActiveIndividual· Emergency Medicine· Surprise, AZ
Emergency Medicine (DO) in Surprise, Arizona, trained at Michigan State University College of Osteopathic Medicine (class of 2016). 337 Medicare patients in 2024, $37,903 paid; nearly all of their 359 Part D prescriptions were generic (91%). Csl Behring reported $20.00 in payments in 2024, mostly education.
Overview
| NPI | 1417318361 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 18, 2016 |
| Last updated in NPPES | Jul 8, 2022 |
| Certified by provider | Jul 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 008645 | AZ |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | 3749 | MI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 337 |
|---|---|
| Services billed | 432 across 22 procedure codes |
| Paid by Medicare | $37,903 |
Part D prescriptions in 2024
| Prescriptions (claims) | 359 · 362 30-day fills |
|---|---|
| Patients | 249 |
| Total drug cost | $4,560 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | Michigan State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Emergency Medicine |
Medical group
- Emergency Group of Arizona Professional CorporationBuckeye, AZ · 105 clinicians
Hospital affiliation
- Abrazo Arrowhead HospitalGlendale, AZ
Industry payments (Open Payments)
- 2024$20.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Csl Behring | $20.00 | 1 |
What the 2024 payments were for
- Education$20.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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