Russell S Elwell, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

115079 Issued in NY

Practice address

158 E Main St
Westfield, NY 14787-1155

Phone

(716) 326-4686

Fax

(716) 326-4628

NPI assigned

Jul 1, 2006

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

General Practice

Education

State University of New York at Buffalo School of Medicine, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians

Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
• Chautauqua Hospice and Palliative Care Hospice, Lakewood, NY, CCN 331554
• Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801
• Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330166

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: relwell153979@direct.ahn.org

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

• Chautauqua Medical Practice, P.C.

  • Family Medicine Physician
  • Bemus Point, NY
  • NPI 1922181767
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Westfield Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Westfield, NY
  • NPI 1942236427
  Care Compare affiliation Name & address match
• Chautauqua Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Lakewood, NY
  • NPI 1639255250
  Care Compare affiliation
• Visiting Nursing Association of Western New York, Inc.

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1730268384
  Care Compare affiliation

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1245269364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871155",
            "telephone_number": "716-326-4686",
            "fax_number": "716-326-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871155",
            "telephone_number": "716-326-4686",
            "fax_number": "716-326-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWELL",
        "first_name": "RUSSELL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "115079-1",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "115079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD WNY",
            "identifier": "000507267001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00607790",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1702196",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010200001",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "relwell153979@direct.ahn.org",
            "affiliation": "N",
            "address_1": "158 E Main St",
            "city": "Westfield",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147871155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlyn Mackenzie Dahl
• Jacob Tyler Damcott, DPT
• Ruth Ann Reed Dougan, RN
• Gary Eugene Eggleston, MD
• Bethany Ellis, LPN
• Phyllis Elaine Firth - Gutz, LMT
• Sara M Foote, RDN
• Kathryn Freeman, LMSW
• Katelyn Frye, RN
• Charles Phillip Garriott, D.O

• General Practice Physician in Westfield, NY
• Providers in Westfield, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.
• 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.