Individual provider Active NPI

Brian L Ransdell, MD

  • MOHS-Micrographic Surgery Physician
  • Spicewood, TX
National Provider Identifier
1144361809
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
M4463 Issued in TX
Practice address
4900 Bee Creek Rd Ste 101
Spicewood, TX 78669-6776
Phone
(512) 961-5250
Fax
(512) 961-5014
NPI assigned
Feb 8, 2007
Last updated
Jan 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X M4463 TX Primary

Addresses

Primary practice location

4900 Bee Creek Rd Ste 101
Spicewood, TX 78669-6776

Mailing address

4900 Bee Creek Rd # 101
Spicewood, TX 78669-6776
Phone (512) 961-5250

Other identifiers 2

IdentifierTypeStateIssuer
186397903MedicaidTX
186397901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070507000610 TX Practitioner - Dermatology 1759487879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Dermatology, PLLCGroup PAC ID 8729490305, 4 clinicians
Clear Creek DermatologyGroup PAC ID 8325435977, 5 clinicians

Practice addresses (Care Compare)

4900 Bee Creek Rd
Suite 101
Spicewood, TX 78669-6776
Phone (512) 961-5250

904 Ford St
Llano, TX 78643-2345
Phone (830) 953-1700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision203
Removal of skin lesions2273
Removal of skin cancer135
Removal or shaving of skin growth1-10
Skin biopsy2176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4463TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Creek Dermatology CurrentSince Apr 22, 2022 Accepting new patients
Longhorn Dermatology, PLLC Mohs-Micrographic Surgery CurrentSince Dec 1, 2020 Accepting new patients
Dallas Endovascular PLLC PastSince Apr 22, 2022 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

904 Ford St
Llano, TX 78643
Phone (830) 953-1700

507 W FM 2147
Marble Falls, TX 78654

507 W FM 2147
Ste 204
Marble Falls, TX 78654
Phone (830) 953-1700

4900 Bee Creek Rd
Unit 101
Spicewood, TX 78669
Phone (512) 961-5250

Interoperability endpoints

  • Direct secure messaging: bransdell44701@direct.sw.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1144361809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BEE CREEK RD # 101",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696776",
            "telephone_number": "512-961-5250",
            "fax_number": "512-961-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BEE CREEK RD STE 101",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696776",
            "telephone_number": "512-961-5250",
            "fax_number": "512-961-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSDELL",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-01-28",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M4463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186397903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186397901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spicewood, TX

Sources for this page

Verify at the official NPI Registry.