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Active NPI 1700084381 Individual Practitioner Male Practitioner

Dr. Michael Anthony Russo , MD

Surgery • Fountain Valley, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Russo, MD is a certified Surgery practicing in Fountain Valley, CA. With approximately 19 years of clinical experience since graduating from Toledo Medical College in 2007, Dr. Russo delivers high-quality medical care to the local community at 1811 BROOKFURST ST #5600.

Dr. Russo is affiliated with Leport Surgical Medical Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1811 Brookfurst St #5600

Fountain Valley, CA 927086728

Telephone 7148614666
Fax 7148614682
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Toledo Medical College

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fountain Valley, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -7.8 yrs vs City Avg
City Avg: 26.8 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Fountain Valley, CA (3346 Statewide)

Telehealth Adoption Rate
42.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russo (19 Years) 19 Yrs
Fountain Valley Specialty Average (26.8 Years) 26.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
34 12 $250.00 $98.50
99442 Telephone medical discussion with physician, 11-20 minutes
25 16 $250.00 $98.29
99443 Telephone medical discussion with physician, 21-30 minutes
23 19 $351.00 $138.57

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A125016

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX Q1013

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nv Board Of Pharm
ASO2532199374 (NV)
Commercial Insurance / Payer ID Nv Medical License
LL1802 (NV)

Hospital & Practice Group Affiliations

Leport Surgical Medical Corporation

18111 Brookhurst St, Fountain Valley, CA 927086728

Phone: 7148614666

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Ashley Salazar , PA-C

Physician Assistant - Surgical

NPI 1003870114

Physician Assistant (Certified)

NPI 1184689663

Doctor of Medicine (M.D.)

Kais Rona

Surgery

NPI 1245650951
Katherine Haghighi , RD

Dietitian, Registered

NPI 1497121636

Registered Dietitian

Farisha Patel , PA-C

Physician Assistant

NPI 1588994131

Physician Assistant (Certified)

NPI 1932163532

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Surgery (License #Q1013 in TX)

📍
Updated Practice Location November 08, 2018

Registered at 1811 BROOKFURST ST #5600, FOUNTAIN VALLEY, CA 927086728 (Tel: 7148614666)

📍
Updated Business Mailing Address November 08, 2018

Registered at 1811 BROOKFURST ST #5600, FOUNTAIN VALLEY, CA 927086728 (Tel: 7148614666)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Surgery (License #A125016 in CA)

NPI Profile Active July 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2014

Registered at 5323 HARRY HINES BOULEVARD, DALLAS, TX 753907206 (Tel: 2146450624)

📍
Updated Business Mailing Address July 30, 2014

Registered at P.O. BOX 845347, DALLAS, TX 752845347 (Tel: 2146450624)

👤
Provider Name / Credentials Updated July 30, 2014

Recorded as MICHAEL RUSSO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2014

Surgery (License #Q1013 in TX)

🟢
Initial NPI Registration & Enumeration July 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700084381
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2007
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

1811 Brookfurst St #5600

Fountain Valley, CA 927086728

Phone: 7148614666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.