Martin T. Russo Jr., DO
NPI 1508876236ActiveIndividual· Family Medicine· Grand Haven, MI
Family Medicine (DO) in Grand Haven, Michigan, trained at Midwestern University, Chicago College of Osteopathic Med (class of 1978). Medicare paid $2,507 for services to 33 patients in 2024.
Overview
| NPI | 1508876236 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Jun 11, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 5101014183 | MI |
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 - Family Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 44 across 10 procedure codes |
| Paid by Medicare | $2,507 |
Education and affiliations
| Medical school | Midwestern University, Chicago College of Osteopathic Med |
|---|---|
| Graduation year | 1978 |
| Medicare specialty | Family Practice |
Medical group
- Mercy Physician NetworkSpring Lake, MI · 112 clinicians
Hospital affiliation
- Trinity Health Muskegon HospitalMuskegon, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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