RUSSELL PECKHAM (DO) – Dermatology Physician, NPI 1801816715
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
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Provider Addresses for RUSSELL PECKHAM (DO)
Lost Springs Cove, The Reserve at Wyoming Springs, Round Rock, Williamson County, Texas, 78781, United States
SUITE 300
ROUND ROCK, TX 786814303
Phone: (512) 910-8800
Fax: (512) 522-4483
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 340 Open Payments records for all available years, with a total value of $6,962.
Total Amount is formed as General ($6,962) + Research ($0) + Ownership ($0) = $6,962.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,376).
Total Amount
$6,962
General + Research + Ownership
Payments
340
Total payment records
General Amount
$6,962
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,376 |
| Janssen Biotech, Inc. | $1,266 |
| Regeneron Healthcare Solutions, Inc. | $560 |
| Amgen Inc. | $265 |
| Kerecis Limited | $242 |
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: 2014-06-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140620001664 | I | Dermatology | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 915 | 169 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 646 | 495 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 311 | 261 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 226 | 160 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 193 | 171 | $0 |
Insurance plans in this area (ZIP 78681)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
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