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Dawn Marie Russell , PA

Physician Assistant β€’ Wright Patterson Afb, OH

Active NPI 1508906116 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4881 Sugar Maple Dr, 88th Medical Group
Wright Patterson Afb, OH 454335250

Call 9372571941 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr
88th Medical Group

Wright Patterson Afb, OH 454335250

Telephone 9372571941
Organization at the Same NPPES Address or Phone
United States Air Force Facility NPI 1407842347

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Dr Melissa Gargasz Urgent Care Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2006

Industry payments (Open Payments)

Fewer than 11 payment records totaling $237.05 in 2022

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2022.

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dawn Russell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dawn Russell as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wright Patterson Afb and Ohio

21 active clinicians are listed under Physician Assistant with a practice address in Wright Patterson Afb, OH (5,329 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wright Patterson Afb

0% of these 21 clinicians have the CMS telehealth indicator.

14.3% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2022

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $237.05.

Manufacturer Payment Nature Product Type Amount ($)
Inari Medical, Inc.
Food and Beverage
In-kind items and services
FLOWTRIEVER CATHETER, S General $237.05

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.003959

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MD 1076380

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0110474 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20141009001352

Enrollment State Jurisdiction

OH

PECOS Control ID

7113147323

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Dr Melissa Gargasz Urgent Care Llc

4353 E State Route 73, Waynesville, OH 450688829

Phone: 5138554336

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1497173850
NPI 1215924048

Doctor of Medicine (M.D.)

Dr. Eric Bahorik , MD

Radiology - Diagnostic Radiology

NPI 1568967172

Doctor of Medicine (M.D.)

Dr. Jason Beachler , MD

Orthopaedic Surgery

NPI 1508108010

Doctor of Medicine (M.D.)

Austin Brokamp

Internal Medicine - Cardiovascular Disease

NPI 1184111346
Dr. Henrik Close , MD

Psychiatry & Neurology - Psychiatry

NPI 1841653599

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2020

Physician Assistant (license number reported to NPPES: MD 1076380)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2019

Physician Assistant (license number reported to NPPES: OH 50.003959)

πŸ‘€
Provider Name / Credentials Updated March 17, 2018

Recorded as DAWN RUSSELL, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant (license number reported to NPPES: MD 1076380)

βœ…
NPI Profile Active June 03, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 03, 2015

Registered at 4881 SUGAR MAPLE DR, 88TH MEDICAL GROUP, WRIGHT PATTERSON AFB, OH 454335250 (Tel: 9372571941)

πŸ“
Business Mailing Address (Initial Record) June 03, 2015

Registered at 7392 FOXDALE DR, WAYNESVILLE, OH 450688200 (Tel: 5138554163)

πŸ‘€
Provider Name / Credentials (Initial Record) June 03, 2015

Recorded as DAWN RUSSELL, PHYSICIAN ASSISTANT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2015

Physician Assistant (license number reported to NPPES: OH 50.003959)

🟒
Initial NPI Registration & Enumeration February 06, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508906116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: March 18, 2020
Sole Proprietor: No

Other Physician Assistants in Wright Patterson Afb

Mailing Address

7392 Foxdale Dr

Waynesville, OH 450688200

Phone: 5138554163

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.