Individual provider Active NPI

David P Russo, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hood River, OR
National Provider Identifier
1184604183
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
DO26464 Issued in OR
Practice address
1010 10TH St
Hood River, OR 97031-1565
Phone
(541) 386-9500
Fax
(541) 386-9540
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 46091 MN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X DO26464 OR Primary

Addresses

Primary practice location

1010 10TH St
Hood River, OR 97031-1565

Mailing address

1010 10TH St
Hood River, OR 97031-1565
Phone (541) 386-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070613000406 OR Practitioner - Interventional Pain Management 3577556588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of North Texas HSC, College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Pain Management, Inc.Group PAC ID 2062595796, 16 clinicians

Practice addresses (Care Compare)

1010 10TH St
Hood River, OR 97031-1565
Phone (541) 386-9500

Merit-based Incentive Payment System (MIPS)

Final score
89.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46091MNMDPhysical Medicine & Rehabilitation Physician
DO26464ORMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Pain Management, Inc. CurrentSince May 1, 2008 Accepting new patients
Good Shepherd Health Care System CurrentSince Jan 15, 2021 Accepting new patients
Columbia Pain Management, LLC PastSince May 1, 2008 Accepting new patients

Locations

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

1010 10th St
Hood River, OR 97031
Phone (541) 386-9500

2149 Cascade Ave
Ste 106A
Hood River, OR 97031
Phone (541) 645-3505

6542 SE Lake Rd
Ste 101
Portland, OR 97222
Phone (503) 387-5546

3601 Klindt Dr
Ste 200
The Dalles, OR 97058
Phone (541) 386-9500

Interoperability endpoints

  • Direct secure messaging: davidr@columbiapain.ssdirect.aprima.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1184604183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 10TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311565",
            "telephone_number": "541-386-9500",
            "fax_number": "541-386-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 10TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311565",
            "telephone_number": "541-386-9500",
            "fax_number": "541-386-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "46091",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "DO26464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.