Doctor profile · Federal record
Dr. Jacob Russell, DO
Emergency Medicine Physician (CMS: Emergency Medicine) · Emergency Medical Services (Emergency Medicine) Physician · Student in an Organized Health Care Education/Training Program · Surprise, AZ
- NPI 1417318361
- Accepts Medicare
- 10 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
16815 W Bell RD
Surprise, AZ 853742101
(602) 833-6900 - Additional location
-
294 Summar Dr
Jackson, TN 383013915
(731) 265-8220 - Additional location
-
620 Skyline Dr
Jackson, TN 38301
(731) 541-5000 - Additional location
-
15855 19 Mile RD
Clinton Township, MI 480383504
(586) 263-2300 - Mailing address
-
294 Summar Dr
Jackson, TN 383013915
Show 1 more location
Credentials & registration
- NPI registered
- March 2016 — 10 yrs on file
- Profile last updated
- July 8, 2022
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (2)
- Arizona #008645 · Michigan #3749
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417318361. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
399
Distinct HCPCS
4
Medicare allowed
$44,109
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99284 |
Emergency department visit with moderate level of medical decision making | 172 | 165 | $117 | |
99285 |
Emergency department visit with high level of medical decision making | 112 | 110 | $171 | |
99283 |
Emergency department visit with low level of medical decision making | 63 | 61 | $70 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 52 | 51 | $8 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 99. This provider delivers 4.0× the peer median.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CSL Behring | 1 | $20.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
203
Patients
202
Total drug cost
$1,630
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 33 | 32 | $238 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 29 | 29 | $336 |
| Ciprofloxacin Hcl | Generic | 24 | 24 | $195 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 23 | 23 | $112 |
| Azithromycin | Generic | 21 | 21 | $101 |
| Methylprednisolone | Generic | 17 | 17 | $113 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 16 | 16 | $317 |
| Ondansetron Odt (Ondansetron) | Brand | 15 | 15 | $87 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 14 | 14 | $46 |
| Cyclobenzaprine Hcl | Generic | 11 | 11 | $84 |
Hospital affiliations
Frequently asked questions
What is Dr. Jacob Russell's medical specialty?
Dr. Jacob Russell practices Emergency Medicine Physician in Surprise, AZ.
Where does Dr. Jacob Russell practice?
Dr. Jacob Russell practices at 16815 W Bell RD, Surprise, AZ 853742101. Office phone: 6028336900.
What is Dr. Jacob Russell's NPI?
Dr. Jacob Russell's National Provider Identifier (NPI) is 1417318361, issued by NPPES.
Does Dr. Jacob Russell accept Medicare assignment?
Yes. Dr. Jacob Russell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Russell commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.