CATHERINE RUSSO PA-C
NPI 1144006834
Physician Assistant - Surgical in Salt Lake City, UT
NPI Status: Active since September 07, 2023
Contact Information
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 993-1800
- Individual
- Female
- Years of Experience 3
- Physician Assistant
- Surgical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CATHERINE RUSSO
This page provides the complete NPI Profile along with additional information for Catherine Russo, a provider established in Salt Lake City, Utah with a medical specialization in Physician Assistant, focusing in surgical and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1144006834 assigned on September 2023. The practitioner's primary taxonomy code is 363AS0400X with license number 13502894-1206 (UT). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1144006834
- Provider Name
- CATHERINE RUSSO PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4252 S HIGHLAND DR STE 200 SALT LAKE CITY, UT 84124
- Location Phone
- (801) 993-1800
- Mailing Address
- 285 E FORT UNION BLVD UNIT 32 MIDVALE, UT 84047
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-07-2023
- Last Update Date
- 01-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 13502894-1206
- License State
- UT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 13502894-1206 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 1500 - EPO
- Regence Standard Silver 5000 - EPO
- Silver 5000 - EPO
- Silver 6200 - EPO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Catherine Russo is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Catherine Russo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6709231624
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231012003852
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Catherine Russo is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
INTERMOUNTAIN MEDICAL CENTER | 5121 SOUTH COTTONWOOD STREET MURRAY, UT 84107 | (801) 507-7000 | Acute Care Hospitals | |
INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL | 9660 SOUTH 1300 EAST SANDY, UT 84094 | (801) 501-2700 | Acute Care Hospitals | |
ST MARK'S HOSPITAL | 1200 EAST 3900 SOUTH SALT LAKE CITY, UT 84124 | (801) 268-7111 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 4 | 4 | 0 | 0 | 6 | 8 | 3 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 8 | 4 | 0 | 0 | 12 | 8 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 8 + 4 + 0 + 0 + 1 + 2 + 8 + 6 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1144006834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1184647315 | DR. IAN R CAVIN DO Individual | Surgery | 4252 S HIGHLAND DR STE 200 SALT LAKE CITY, UT 84124 (801) 965-3600 |
1760575518 | MR. BRUCE WARELO SPERRY PT, PA-C Individual | Physician Assistant (Surgical) | 4252 S HIGHLAND DR STE 200 HOLLADAY, UT 84124 (801) 993-1800 |
1992925853 | JUDIE FE GUZMAN PA-C Individual | Physician Assistant | 4252 S HIGHLAND DR STE 200 HOLLADAY, UT 84124 (801) 993-1800 |
1730474792 | JAMES R CRAIG JR. MD Individual | Urology | 4252 S HIGHLAND DR STE 200 SALT LAKE CITY, UT 84124 (801) 993-1800 |
1326136565 | DR. CHARLES REESE DAVIS M.D. Individual | Surgery | 4252 S HIGHLAND DR STE 200 HOLLADAY, UT 84124 (801) 965-3600 |
1447632229 | CRISTINA REGALADO PA-C Individual | Physician Assistant | 4252 S HIGHLAND DR STE 200 SALT LAKE CITY, UT 84124 (801) 993-1800 |
1841271491 | DR. SHEETAL SHAH MD Individual | Internal Medicine (Nephrology) | 4252 S HIGHLAND DR STE 200 HOLLADAY, UT 84124 (801) 965-3600 |
1417435199 | BRANDIE BLOOD RUDY APRN Individual | Nurse Practitioner | 4252 S HIGHLAND DR STE 200 HOLLADAY, UT 84124 (801) 993-1800 |
1154945061 | UTAH UROLOGY WORKS LLC Organization | Urology | 4252 S HIGHLAND DR STE 200 SALT LAKE CITY, UT 84124 (801) 993-1800 |
1992050041 | DR. PETER ALEXANDER CAPUTO MD Individual | Urology | 4252 S HIGHLAND DR STE 200 HOLLADAY, UT 84124 (801) 993-1800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144006834, enumerated in the NPI registry as an "individual" on September 07, 2023
The provider is located at 4252 S Highland Dr Ste 200 Salt Lake City, Ut 84124 and the phone number is (801) 993-1800
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 3 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): INTERMOUNTAIN MEDICAL CENTER, INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL and ST MARK'S HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 07, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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