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Active NPI 1013545607 Individual Practitioner Female Practitioner

Raquel K Russo , PA-C

Physician Assistant • Chesterfield, MO

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Raquel Russo, PA-C is a registered Physician Assistant practitioner in Chesterfield, MO. With approximately 5 years of clinical practice since graduating from Saint Louis University School Of Medicine in 2021, Raquel Russo provides healthcare services at the registered practice location at 13353 OLIVE BLVD.

Raquel Russo is affiliated with Bluetail Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established 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

13353 Olive Blvd

Chesterfield, MO 630173108

Telephone 6367782900
Fax 6367782828
Associated Practice Facility / Clinic
🏢 Bluetail Medical Group, Llc. Facility NPI 1285986398

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chesterfield, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.1 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
43 Specialists

Practicing in Chesterfield, MO (1802 Statewide)

Telehealth Adoption Rate
14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russo (5 Years) 5 Yrs
Chesterfield Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
25 25 $287.04 $73.75

Medical Specialties & State Licenses

CMS Verified: 2025-11-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2022005794

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Bluetail Medical Group, Llc

160 Westmount Dr, Farmington, MO 636402970

Phone: 6367782900

Bluetail Medical Group, Llc

13353 Olive Blvd, Chesterfield, MO 630173108

Phone: 6367782900

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. David Crane , MD

Emergency Medicine - Sports Medicine

NPI 1144291089

Doctor of Medicine (M.D.)

Jeffrey Todd , PA-C

Physician Assistant

NPI 1578635488

Physician Assistant (Certified)

Jeremy Dunbarr , PA-C

Physician Assistant

NPI 1831191014

Physician Assistant (Certified)

Christine Schroeder , PA-C

Physician Assistant - Medical

NPI 1922535798

Physician Assistant (Certified)

Dr. Christopher Wolf , DO

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1942240833

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 17, 2025

Registered at 13353 OLIVE BLVD, CHESTERFIELD, MO 630173108 (Tel: 6367782900)

📍
Updated Business Mailing Address November 17, 2025

Registered at 13353 OLIVE BLVD, CHESTERFIELD, MO 630173108 (Tel: 6367782900)

👤
Provider Name / Credentials Updated November 17, 2025

Recorded as RAQUEL RUSSO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2022

Physician Assistant (License #2022005794 in MO)

📍
Updated Practice Location April 25, 2022

Registered at 17300 N OUTER 40 RD STE 201, CHESTERFIELD, MO 630051364 (Tel: 6367782900)

📍
Updated Business Mailing Address April 25, 2022

Registered at 17300 N OUTER 40 RD STE 201, CHESTERFIELD, MO 630051364 (Tel: 6367782900)

👤
Provider Name / Credentials Updated April 25, 2022

Recorded as RAQUEL RUSSO, PA

NPI Profile Active March 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2020

Registered at 3437 CAROLINE ST, SAINT LOUIS, MO 631041111 (Tel: 3149778521)

📍
Updated Business Mailing Address March 30, 2020

Registered at 4041 CHOUTEAU AVE APT 441, SAINT LOUIS, MO 631101751

👤
Provider Name / Credentials Updated March 30, 2020

Recorded as RAQUEL RUSSO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 30, 2020

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: 1013545607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2020
Last Update: November 17, 2025
Sole Proprietor: No

Mailing Address

13353 Olive Blvd

Chesterfield, MO 630173108

Phone: 6367782900

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.