Individual provider Active NPI

Russell Abbott Reeves, M.D., M.S.

  • Vascular & Interventional Radiology Physician
  • Watertown, NY
National Provider Identifier
1326573775
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
327901 Issued in NY
Practice address
830 Washington St
Watertown, NY 13601-4099
Phone
(315) 785-4100
NPI assigned
Apr 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A184507 CA
Diagnostic Radiology Physician 2085R0202X MT218952 PA
Vascular & Interventional Radiology Physician 2085R0204X A184507 CA
Vascular & Interventional Radiology Physician 2085R0204X 327901 NY Primary

Addresses

Primary practice location

830 Washington St
Watertown, NY 13601-4099

Mailing address

830 Washington St
Watertown, NY 13601-4099
Phone (315) 785-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230713004015 CA Practitioner - Diagnostic Radiology 3476819814 Reassigns benefits to 4 organizations
I20240808003301 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3476819814 Reassigns benefits to 2 organizations
I20251027003483 PA Practitioner - Diagnostic Radiology 3476819814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scranton Hospitalist Physician Services LLCGroup PAC ID 7719163831, 46 clinicians
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 770-3432

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal13
Leg revascularization (restoring blood flow)25
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT218952PAMDDiagnostic Radiology Physician
A184507CAMDVascular & Interventional Radiology Physician
327901NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Samaritan Medical Center CurrentSince Sep 16, 2024 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology CurrentSince Oct 14, 2025 Accepting new patients
Maritime Radiology Associates PC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Sep 11, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2023 Accepting new patients
Samaritan Medical Center CurrentSince Sep 16, 2024 Accepting new patients
Samaritan Medical Center Current Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Olean Radiology, PC Diagnostic Radiology Past Accepting new patients

Locations

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400

4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

132 S 10th St
Fl 10
Philadelphia, PA 19107
Phone (215) 955-6226

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1326573775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014099",
            "telephone_number": "315-785-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014099",
            "telephone_number": "315-785-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "RUSSELL",
        "middle_name": "ABBOTT",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A184507",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT218952",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A184507",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "327901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.