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Active NPI 1992813174 Individual Practitioner Male Practitioner

Dr. Robert T Russell , MD

Otolaryngology • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Russell, MD is a registered healthcare professional specializing in Otolaryngology in Bloomington, IL. Practice services are available at 1404 EASTLAND DR STE 209 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax, eardrum testing using ear probe. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1404 Eastland Dr Ste 209

Bloomington, IL 617017904

Telephone 3096623277
Fax 3096630845
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.5 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Bloomington, IL (502 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
602 341 $106.82 $77.35
69210 Removal of impacted ear wax
417 239 $60.90 $40.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
411 213 $64.82 $47.63
92567 Eardrum testing using ear probe
281 235 $24.19 $13.67
92557 Comprehensive hearing and speech recognition test
264 232 $60.44 $30.85
92511 Exam of the nose and throat using an endoscope
147 89 $186.95 $95.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
138 138 $125.92 $94.77
31575 Diagnostic exam of voice box using a flexible endoscope
37 33 $123.99 $107.05
92553 Test for hearing various pitches using earphone and device placed against the bone
26 23 $40.00 $36.55
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
13 13 $53.77 $45.72

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License IL 036082417

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036082417 (IL)
Commercial Insurance / Payer ID Blu Cross Blue Shield
05700224

Practice Associates & Co-Workers

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

2 Associated Practitioners
Lisa Baer

Audiologist-Hearing Aid Fitter

NPI 1083626485
NPI 1326050881

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2015

Registered at 1404 EASTLAND DR STE 209, BLOOMINGTON, IL 617017904 (Tel: 3096623277)

📍
Updated Business Mailing Address October 20, 2015

Registered at 1404 EASTLAND DR STE 209, BLOOMINGTON, IL 617017904 (Tel: 3096623277)

👤
Provider Name / Credentials Updated October 20, 2015

Recorded as ROBERT RUSSELL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2015

Otolaryngology (License #036082417 in IL)

🟢
Initial NPI Registration & Enumeration August 28, 2006

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: 1992813174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: October 20, 2015
Sole Proprietor: Yes

Mailing Address

1404 Eastland Dr Ste 209

Bloomington, IL 617017904

Phone: 3096623277

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.