SCOTT ANTHONY RUSSELL (MD) – Surgery Physician, NPI 1790781706

SCOTT ANTHONY RUSSELL (MD) is a healthcare provider. based in Round rock, Texas. specializing in GENERAL SURGERY, PERIPHERAL VASCULAR DISEASE. They hold the professional credentials MD. They hold a License No. H4662 (TX). The NPI Number for SCOTT ANTHONY RUSSELL (MD) is 1790781706

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT ANTHONY RUSSELL (MD)
NPI
1790781706
Phone
(512) 244-0111
Address
7200 WYOMING SPGS
Enumeration Date
23 June 2005
Last Update Date
29 September 2010

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8778667123
Graduation Year
1987 (39 years ago)
PAC ID
5092891440
Group Practice PAC ID
0042447682
Professional Enrollment ID
I20100914000028
Address ID
TX787598682AU4401XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for SCOTT ANTHONY RUSSELL (MD)

  • 7200 WYOMING SPGS

    STE 500

    ROUND ROCK, TX 786814307

    Phone: (512) 244-0111

    Fax: (512) 244-2479

    Type: Mailing

  • Georgetown Medical Clinic, 3201, South Austin Avenue, Georgetown, Williamson County, Texas, 78626, United States

    STE 330

    GEORGETOWN, TX 786267545

    Phone: (512) 864-3183

    Fax: (512) 930-3409

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100914000028IGeneral SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11042Removal of skin and tissue, 20.0 sq cm or less608188$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less541134$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes455174$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes287136$0
17250Application of chemical to stop tissue regrowth in wound24253$0
View full utilization report →

Insurance plans in this area (ZIP 78681)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042447682View full group profile
NameSpecialtyState
Family PracticeTX
Family Practice, Peripheral Vascular DiseaseTX
General SurgeryNY
General SurgeryFL
General SurgeryTX
N E U R O S U R G E R YTX
General PracticePA
Internal MedicineTX
Nurse PractitionerTX
General SurgeryTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for SCOTT ANTHONY RUSSELL (MD)?
SCOTT ANTHONY RUSSELL (MD) — NPI 1790781706 — is the standard way to identify this listing.
Does CMS list SCOTT ANTHONY RUSSELL (MD) as active?
Yes — SCOTT ANTHONY RUSSELL (MD) is active in the NPI listing used on this page.
What is SCOTT ANTHONY RUSSELL (MD)'s specialty?
The listing groups SCOTT ANTHONY RUSSELL (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Does SCOTT ANTHONY RUSSELL (MD) list a practice location?
Patients near Round Rock, Texas may find SCOTT ANTHONY RUSSELL (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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