Sam Dominick Russo, MPAS
Medical Physician Assistant · New York, NY
Sam Dominick Russo, MPAS is a medical physician assistant with a practice address in New York, New York, and NPI 1164823787, issued on Sep 15, 2014. Check the license with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Sam Dominick Russo
- Credential
- MPAS
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- Practice location
- 650 W 168TH St, New York, NY 10032
- Phone
- (212) 305-7367
- Enumerated
- Sep 15, 2014
- Record last updated
- Sep 15, 2014 (not updated in 12 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20171207002322); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 3,670 in New York → Look up another NPI →
Also registered at 650 W 168TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Sam Dominick Russo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 91.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- North Shore-Lij Medical PCManhasset, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sam Dominick Russo among 3,670 medical physician assistant records in New York
Sam Dominick Russo, MPAS is one of 3,670 medical physician assistant records with a practice address in New York. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 56% of them.
- NPI issued2014 · 56% of these records are older, 40% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 49% of these records are
- Graduated2014 · median 2014 among the 1,802 with a school on file
- Record last updated2014 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in New York
There are 3,670 medical physician assistant records in New York.
All 3,670 in New York → Every provider in New York → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Carlos Almodovar, RPA-CNew York, NY 100321952442154
- Gwendolyn Cunningham, PANew York, NY 100321154406031
- Khadija Deas-Joseph, PHYSICIAN ASSISTANTNew York, NY 100321740300698
- Pilar Dolcimascolo, RPA-CNew York, NY 100321578604971
- Jessica Forman, PA-CNew York, NY 100321114067212
- Marianne Grandusky, PANew York, NY 100321225093289
- Michael Guiry, RPA-CNew York, NY 100321427197847
- Pedro Guzman, PACNew York, NY 100321174641682
Common questions
What is Sam Dominick Russo, MPAS's NPI number?
Sam Dominick Russo, MPAS's National Provider Identifier (NPI) is 1164823787, issued on Sep 15, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Sam Dominick Russo, MPAS located?
The NPPES record lists a practice address at 650 W 168TH St, New York, NY, 10032. Phone: (212) 305-7367. Providers update this record themselves, so call before visiting.
How can I verify Sam Dominick Russo, MPAS's license?
Search the New York board that licenses this profession; the NPPES record confirms identity only.
What is Sam Dominick Russo, MPAS's MIPS final score?
The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.