Individual provider Active NPI

Russell Hendren Cotton III, PA

  • Physician Assistant
  • La Grange, KY
National Provider Identifier
1346495249
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA976 Issued in KY
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

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100069870MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090209000011 KY Practitioner - Physician Assistant 2163587197 Reassigns benefits to 5 organizations
I20240301001508 IN Practitioner - Physician Assistant 2163587197 Reassigns benefits to 1 organization

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Louisville Observational Medicine Associates PSCGroup PAC ID 2860890704, 32 clinicians

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 100Reported as group
Quality
75.39
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group, Inc. Physician Assistant CurrentSince Jan 26, 2024 Accepting new patients
Oldham County Emergency Physicians, LLC Physician Assistant CurrentSince Feb 15, 2026 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 26, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.