Active NPI 1063783074 Individual Practitioner Male Practitioner

Stephen A Russo , PA-C

Physician Assistant • Lititz, PA

Professional Overview & Biography Verified Profile Summary

Stephen Russo, PA-C is a registered healthcare professional specializing in Physician Assistant in Lititz, PA. Practice services are available at 1500 HIGHLANDS DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Highlands Dr

Lititz, PA 175437694

Telephone 7179880000

Fax 7177825716

Associated Practice Facility / Clinic

🏢 Red Rose Emergency Physicians Llc Facility NPI 1003865817

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lititz, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.2 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

16 Specialists

Practicing in Lititz, PA (8068 Statewide)

Telehealth Adoption Rate

31.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.0% 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
99284 Emergency department visit with moderate level of medical decision making	168	161	$319.00	$102.04
99285 Emergency department visit for life threatening or functioning severity	146	137	$484.00	$147.96
99283 Emergency department visit with low level of medical decision making	25	25	$227.00	$60.22
99282 Emergency department visit with straightforward medical decision making	13	13	$161.00	$35.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	158	151	$319.00	$101.08
99285 Emergency department visit for life threatening or functioning severity	126	122	$484.00	$147.00
99283 Emergency department visit with low level of medical decision making	23	23	$227.00	$60.32
99282 Emergency department visit with straightforward medical decision making	17	17	$161.00	$35.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	185	180	$484.00	$149.59
99284 Emergency department visit with moderate level of medical decision making	148	144	$319.00	$102.79
99283 Emergency department visit with low level of medical decision making	34	33	$227.00	$60.75
99282 Emergency department visit with straightforward medical decision making	24	23	$161.00	$35.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	153	149	$319.00	$104.77
99283 Emergency department visit with low level of medical decision making	70	65	$227.00	$61.69
99285 Emergency department visit for life threatening or functioning severity	67	65	$484.00	$152.96
99282 Emergency department visit with straightforward medical decision making	30	30	$161.00	$36.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	129	125	$319.00	$102.96
99283 Emergency department visit with low level of medical decision making	81	78	$227.00	$56.31
99285 Emergency department visit for life threatening or functioning severity	47	46	$484.00	$149.43
99282 Emergency department visit with straightforward medical decision making	25	25	$161.00	$37.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	105	104	$304.00	$99.47
99285 Emergency department visit for life threatening or functioning severity	60	60	$461.00	$146.57
99282 Emergency department visit with straightforward medical decision making	38	38	$153.00	$35.01
99283 Emergency department visit with low level of medical decision making	29	28	$216.00	$51.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	98	95	$1148.14	$144.90
99284 Emergency department visit with moderate level of medical decision making	83	79	$547.30	$99.27
99283 Emergency department visit with low level of medical decision making	69	67	$426.14	$52.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$116.00	$7.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	146	137	$1735.29	$141.84
99284 Emergency department visit with moderate level of medical decision making	118	110	$1158.27	$96.82
99283 Emergency department visit with low level of medical decision making	95	87	$784.40	$51.04
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	49	49	$113.43	$6.96

Medical Specialties & State Licenses

CMS Verified: 2021-04-09

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA057357

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9106297

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

103476544 (PA)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joseph Benaknin , DO

Emergency Medicine

NPI 1003024936

Doctor of Osteopathic Medicine (D.O.)

Ahna Fulmer , CRNP

Nurse Practitioner

NPI 1003244252

Certified Registered Nurse Practitioner

Jonelle Derk , CRNP

Nurse Practitioner - Family

NPI 1003487992

Certified Registered Nurse Practitioner

Dr. Joanne Gordon , MD

Internal Medicine

NPI 1003869389

Doctor of Medicine (M.D.)

Dr. Richard Birrer , MD

Emergency Medicine

NPI 1013050202

Doctor of Medicine (M.D.)

Dr. Katie Miller , MD

Emergency Medicine

NPI 1023050028

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address April 09, 2021

Registered at 1500 HIGHLANDS DR, LITITZ, PA 175437694

📍

Updated Practice Location January 30, 2021

Registered at 1500 HIGHLANDS DR, LITITZ, PA 175437694 (Tel: 7179880000)

📍

Updated Practice Location May 08, 2018

Registered at 250 COLLEGE AVE, LANCASTER, PA 176033363 (Tel: 7179880000)

📍

Updated Business Mailing Address May 08, 2018

Registered at 409 S 2ND ST STE 2F, HARRISBURG, PA 171041612

👤

Provider Name / Credentials Updated May 08, 2018

Recorded as STEPHEN RUSSO, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2018

Physician Assistant (License #MA057357 in PA)

✅

NPI Profile Active January 23, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2012

Registered at 4311 SALISBURY RD, JACKSONVILLE, FL 322166123 (Tel: 9043324316)

📍

Updated Business Mailing Address January 23, 2012

Registered at 4311 SALISBURY RD, JACKSONVILLE, FL 322166123 (Tel: 9043324316)

👤

Provider Name / Credentials Updated January 23, 2012

Recorded as STEPHEN RUSSO, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2012

Physician Assistant (License #PA9106297 in FL)

🟢

Initial NPI Registration & Enumeration January 23, 2012

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: 1063783074

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 23, 2012

Last Update: April 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1500 Highlands Dr

Lititz, PA 175437694

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.