DAVID ELLIOTT HOWARD RUSSELL MD
NPI 1366704819
Pediatrics in Loma Linda, CA
NPI Status: Active since June 11, 2012
Contact Information
11234 ANDERSON ST
LOMA LINDA UNIVERSITY HEALTH-PEDIATRICS, GENERAL
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-4174
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About DAVID RUSSELL
This page provides the complete NPI Profile along with additional information for David Russell, a pediatrician established in Loma Linda, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1366704819 assigned on June 2012. The practitioner's primary taxonomy code is 208000000X with license number 139291 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1366704819
- Provider Name
- DAVID ELLIOTT HOWARD RUSSELL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11234 ANDERSON ST LOMA LINDA UNIVERSITY HEALTH-PEDIATRICS, GENERAL LOMA LINDA, CA 92354
- Location Phone
- (909) 558-4174
- Mailing Address
- 11234 ANDERSON ST GME OFFICE WESTERLY SUITE 'C' LOMA LINDA, CA 92354
- Mailing Phone
- (909) 558-4174
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-11-2012
- Last Update Date
- 12-10-2015
- Code Navigator
A pediatrician like David Russell is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. David Russell opted out of Medicare effective on 04-10-2022 until 04-10-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 139291
- License State
- CA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
David Russell 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-10-2022
Opt-Out End Date: 04-10-2026
Eligible to Order and Refer? No
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92354 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.88
- Minimum New Patient Price $59.6
- Maximum New Patient Price $179.42
- Average New Patient Copayment $22.97
- Minimum New Patient Copayment $14.9
- Maximum New Patient Copayment $44.85
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $104.64
- Minimum Established Patient Price $19.37
- Maximum Established Patient Price $146.42
- Average Established Patient Copayment $26.16
- Minimum Established Patient Copayment $4.84
- Maximum Established Patient Copayment $36.6
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 3 | 6 | 6 | 7 | 0 | 4 | 8 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 14 | 0 | 8 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 4 + 0 + 8 + 8 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1366704819 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891794657 | LEIGH ANN BALLOU PA-C Individual | Physician Assistant (Surgical) | 11234 ANDERSON ST RM 2562B LOMA LINDA, CA 92354 (909) 558-6386 |
| 1730172693 | DR. TOMMY YOUNGHO KIM M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 11234 ANDERSON ST A 108 LOMA LINDA, CA 92354 (909) 558-4000 |
| 1447231915 | DR. GARY Y YANG MD Individual | Radiology (Radiation Oncology) | 11234 ANDERSON ST SUITE B-121 LOMA LINDA, CA 92354 (909) 558-4244 |
| 1225015217 | MRS. JEANNINE SHARKEY N.P. Individual | Nurse Practitioner (Pediatrics) | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-4000 |
| 1669442778 | TERESA SERNA-FONSECA Individual | Nurse Practitioner (Pediatrics) | 11234 ANDERSON ST MC 5700H LOMA LINDA, CA 92354 (909) 558-8393 |
| 1316997596 | LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC. Organization | Internal Medicine (Cardiovascular Disease) | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-4200 |
| 1184679805 | JANELLE MARIE WARREN NP Individual | Nurse Practitioner | 11234 ANDERSON ST ROOM 6700H LOMA LINDA, CA 92354 (909) 558-8514 |
| 1104872118 | LOMA LINDA UNIV ANESTHESIOLOGY MEDICAL GROUP INC Organization | Anesthesiology | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-4475 |
| 1932155165 | LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC Organization | Internal Medicine | 11234 ANDERSON ST STE.1405 LOMA LINDA, CA 92354 (909) 558-8762 |
| 1184662405 | FACULTY MEDICAL GROUP OF LLUSM Organization | Emergency Medicine | 11234 ANDERSON ST A 108 LOMA LINDA, CA 92354 (909) 558-4344 |
| 1467491472 | SONIA GURMINDAR DHALIWAL MD Individual | Radiology (Diagnostic Radiology) | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-3016 |
| 1841230190 | LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC Organization | Radiology (Diagnostic Radiology) | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-3012 |
| 1346281946 | KELLIE OLSON Individual | Emergency Medicine | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-4344 |
| 1912948720 | LILIT MINASYAN M.D. Individual | Pediatrics | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-4344 |
| 1386672632 | DR. JASON WESLEY GATLING M.D. Individual | Anesthesiology | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-1000 |
| 1447289780 | DR. TAMMY E YOUNG N.P. Individual | Nurse Practitioner | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-8514 |
| 1477583433 | JOANNA YANG NP Individual | Licensed Practical Nurse | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-4000 |
| 1164454252 | DR. EKUA NKRUMAH COBBINA M.D. Individual | Pediatrics | 11234 ANDERSON ST LOMA LINDA UNIVERSITY MEDICAL CENTER LOMA LINDA, CA 92354 (909) 558-4000 |
| 1124050372 | PATRICIA RADOVICH CNS Individual | Clinical Nurse Specialist | 11234 ANDERSON ST STE.1405 LOMA LINDA, CA 92354 (909) 558-4252 |
| 1326071754 | HANS SAATY M.D. Individual | Radiology (Diagnostic Radiology) | 11234 ANDERSON ST LOMA LINDA, CA 92354 (909) 558-8311 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366704819, enumerated in the NPI registry as an "individual" on June 11, 2012
The provider is located at 11234 Anderson St Loma Linda University Health-pediatrics, General Loma Linda, Ca 92354 and the phone number is (909) 558-4174
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. 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.
Medicare beneficiaries should expect a typical cost of $91.88 with an average copayment of $22.97 for new patient appointments. Established patients should expect a typical charge of $104.64 and an average copayment of 26.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on April 10, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 10, 2026.
This NPI record was last updated on June 11, 2012. 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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