Dr. Charles A Russell , MD
Specialist • Enumclaw, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Russell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charles Russell, MD was a registered Specialist practicing in Enumclaw, WA. Throughout an active medical career spanning 13 years, Dr. Russell provided care at the practice location at 2820 GRIFFIN AVE STE 210 until profile deactivation on 2019-09-16.
Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, injection into tendon or ligament. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
2820 Griffin Ave Ste 210
Enumclaw, WA 980222373
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Enumclaw, WA
Practicing in Enumclaw, WA (2751 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
49 | 35 | $175.00 | $49.36 |
|
99202
New patient office or other outpatient visit, typically 20 minutes
|
27 | 27 | $175.00 | $82.98 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Registered Nurse - Medical-Surgical
Advanced Practice Midwife
Certified Nurse Midwife
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Internal Medicine - Cardiovascular Disease
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 16, 2019
NPI status registered as active in NPPES database
Registered at 2820 GRIFFIN AVE STE 210, ENUMCLAW, WA 980222373 (Tel: 3608257500)
Registered at 2820 GRIFFIN AVE, STE 210, ENUMCLAW, WA 980222373 (Tel: 3608257500)
Recorded as CHARLES RUSSELL, M.D.
Specialist (License #MD00022648 in WA)
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
Mailing Address
2820 Griffin Ave, Ste 210
Enumclaw, WA 980222373
Phone: 3608257500
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