Scott Andrew Russi, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD61007212 Issued in WA

Practice address

505 NE 87TH Ave Ste 301
Vancouver, WA 98664-1965

Phone

(360) 514-7374

Fax

(360) 514-7384

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 7, 2025 through Mar 7, 2027

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

75.94

Promoting interoperability

100

Improvement activities

40

Cost

83.56

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: srussi@yourcarecommunity.org
• Direct secure messaging: srussi265476@direct.peacehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McKenzie-Willamette Regional Medical Center Associates LLC

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1568413573
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1093789372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85182 BLUE HERON WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974058671",
            "telephone_number": "719-243-6631",
            "fax_number": "541-868-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE STE 301",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641965",
            "telephone_number": "360-514-7374",
            "fax_number": "360-514-7384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Riverbend Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-868-9303",
            "fax_number": "541-868-9306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSI",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-06-08",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61007212",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD163726",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "4748",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61007212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "500659745",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Russell, OTR/L
• Judith G Russell, THERAPIST
• Lindsey N Russett, LMHC, CMHS
• Samuel Edward Russett
• Alexandria Russi, PA
• Serena Lynn Russum, ND
• Cuchulain Luke Rust, M.D.
• Trista Rust
• Rachel April Renee Rustad, BS, MS
• Kamila D Rustamova, RN

• Surgery Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.