Doctor profile · Federal record

Dr. Peter Russo, PA

Physician Assistant · Surgical Physician Assistant · Stockton, CA

  • NPI 1588729941
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2545 W Hammer Ln
Stockton, CA 952092839
(209) 957-7050
Mailing address
600 Coffee RD
Modesto, CA 953554201

Credentials & registration

NPPES · NUCC
NPI registered
December 2006 — 20 yrs on file
Profile last updated
April 10, 2015
Specialty taxonomy
363A00000X — NUCC code
State license (1)
California #PA14699

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1588729941. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
501
Distinct HCPCS
10
Medicare allowed
$35,404
HCPCS Description Services Patients Avg allowed
J1030 Injection, methylprednisolone acetate, 40 mg 155 56 $8
99213 Established patient office or other outpatient visit, 20-29 minutes 113 82 $80
20610 Aspiration and/or injection of fluid from large joint 90 52 $63
99205 New patient office or other outpatient visit, 60-74 minutes 35 35 $193
99214 Established patient office or other outpatient visit, 30-39 minutes 24 23 $113
23472 Prosthetic repair of shoulder joint, total shoulder 21 20 $199
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope 18 18 $23
29827 Repair of shoulder rotator cuff using an endoscope 18 18 $149
99212 Established patient office or other outpatient visit, 10-19 minutes 14 14 $50
99215 Established patient office or other outpatient visit, 40-54 minutes 13 13 $158

In context: peer comparison

Among 11 peers in this city , average services per provider: 97. This provider delivers 5.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
107
Patients
58
Total drug cost
$1,837
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 65 45 $1,008
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 23 13 $294
Diclofenac Sodium Generic 19 0 $535

Frequently asked questions

Auto-generated from federal data
What is Dr. Peter Russo's medical specialty?
Dr. Peter Russo practices Physician Assistant in Stockton, CA.
Where does Dr. Peter Russo practice?
Dr. Peter Russo practices at 2545 W Hammer Ln, Stockton, CA 952092839. Office phone: 2099577050.
What is Dr. Peter Russo's NPI?
Dr. Peter Russo's National Provider Identifier (NPI) is 1588729941, issued by NPPES.
What procedures does Dr. Peter Russo commonly perform?
Top Medicare-reported procedures in 2023: Injection, methylprednisolone acetate, 40 mg (HCPCS J1030); Established patient office or other outpatient visit (HCPCS 99213); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.