Active NPI
Russell Hendren Cotton III, PA
- Physician Assistant
- La Grange, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA976
- Practice address
- 1006 New Moody LN
La Grange, KY 40031-9122 - Phone
- (502) 593-0083
- Fax
- (502) 222-0029
- NPI assigned
- Nov 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA976 | KY | Primary |
Addresses
Primary practice location
1006 New Moody LN
La Grange, KY 40031-9122
Mailing address
1006 New Moody LN
La Grange, KY 40031-9122
Phone (502) 593-0083
Other practice location 1
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100069870 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11701 Bluegrass Pkwy
Louisville, KY 40299-2302
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810
3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 981-8970
3558 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 542-4699
3900 Kresge Way
Louisville, KY 40207-4681
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.66 of 100
- Quality
- 75.39
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Oldham County Emergency Physicians, LLC | Physician Assistant | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| First You Physician House Calls PSC | Past | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1356018519
-
- Emergency Medicine Physician
- La Grange, KY
- NPI 1508726035
Physician Assistant
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1487604641
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Family Medicine Physician
- Jeffersonville, IN
- NPI 1811648827
Physician Assistant
-
- Family Nurse Practitioner
- Bedford, KY
- NPI 1477799435
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1346495249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 NEW MOODY LN",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400319122",
"telephone_number": "502-593-0083",
"fax_number": "502-222-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 NEW MOODY LN",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400319122",
"telephone_number": "502-593-0083",
"fax_number": "502-222-0029"
}
],
"practiceLocations": [
{
"address_1": "1221 S Broadway",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405042701",
"country_code": "US",
"telephone_number": "859-258-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTTON",
"first_name": "RUSSELL",
"middle_name": "HENDREN",
"name_suffix": "III",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-20",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100069870",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.