Individual provider Active NPI

Russell Scott Rowe, MD

  • Dermatology Physician
  • Gatesville, TX
National Provider Identifier
1215026232
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J7368 Issued in TX
Practice address
1507 W Main St
Gatesville, TX 76528-1024
Phone
(254) 265-7100
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X J7368 TX
Dermatology Physician 207N00000X J7368 TX Primary

Addresses

Primary practice location

1507 W Main St
Gatesville, TX 76528-1024

Mailing address

3113 River Place Dr
Belton, TX 76513-1013
Phone (254) 265-7100

Other practice location 1

1001 E Primrose St
Springfield, MO 65807-5155
Phone (417) 875-3462

Other practice location 2

1618 Canyon Creek Dr Ste 120
Temple, TX 76502-3273
Phone (254) 265-7100

Other identifiers 1

IdentifierTypeStateIssuer
200072318MedicaidMO

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
I20150708001415 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9032396619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Baylor College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell Rowe MD PAGroup PAC ID 7416381546, 7 clinicians

Practice addresses (Care Compare)

101 Posey Ave
Clifton, TX 76634-1289
Phone (254) 265-7100

10201
Suite 16
Comanche, TX 76442
Phone (254) 265-7100

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 265-7100

303 N Brown St
Hamilton, TX 76531-1515
Phone (254) 265-7100

6612 Woodway Dr
BLDG a Suite 2
Waco, TX 76712-6143
Phone (254) 265-7100

764 W Commerce St
Fairfield, TX 75840-1428
Phone (254) 265-7100

Hospital & facility affiliations

  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
  • Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392
  • Goodall Witcher Hospital Hospital, Clifton, TX, CCN 451385

Merit-based Incentive Payment System (MIPS)

Final score
60.98 of 100Reported as group
Quality
80.71
Promoting interoperability
0
Improvement activities
40
Cost
72.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of skin lesions2139
Removal of skin cancer486
Removal of nail tissue1-10
Skin biopsy569

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Aug 1, 2015 Accepting new patients
Daniel J Ladd DO PA Dermatology CurrentSince Sep 15, 2020 Accepting new patients
Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat Dermatology CurrentSince Sep 15, 2020 Accepting new patients
Russell Rowe, MD, PA Dermatology CurrentSince Aug 17, 2019 Accepting new patients
Gorden Eye Associates, PA PastSince May 18, 2001 Accepting new patients
Shannon Clinic Dermatology Past Accepting new patients
Dermatology Associates Dermatology Past Accepting new patients

Locations

3500 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 643-4384

3101 Highway 71 E
Ste 203
Bastrop, TX 78602
Phone (512) 643-4384

3655 Highway 377 S
Brownwood, TX 76801

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

1507 W Main St
Bldg 1
Gatesville, TX 76528

1400 E Cemetery Rd
Hallettsville, TX 77964
Phone (512) 643-4384

303 N Brown St
Hamilton, TX 76531
Phone (254) 386-1700

1323 E Franklin St
Ste 103
Hillsboro, TX 76645
Phone (214) 841-2000

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

307 Live Oak St
Marlin, TX 76661
Phone (254) 803-3565

1618 Canyon Creek Dr
Ste 120
Temple, TX 76502
Phone (254) 791-2020

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

300 Richland West Cir
Ste 2C
Waco, TX 76712
Phone (254) 340-6000

6612 Woodway Dr
Bldg A
Woodway, TX 76712

6612 Woodway Dr
Ste 2
Woodway, TX 76712

Interoperability endpoints

  • Direct secure messaging: rrowe@realskinderm.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1215026232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 RIVER PLACE DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131013",
            "telephone_number": "254-265-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-265-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E Primrose St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075155",
            "country_code": "US",
            "telephone_number": "417-875-3462",
            "fax_number": "417-875-3292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1618 Canyon Creek Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765023273",
            "country_code": "US",
            "telephone_number": "254-265-7100",
            "fax_number": "254-875-0449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "RUSSELL",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "J7368",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J7368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200072318",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gatesville, TX

Sources for this page

Verify at the official NPI Registry.