Russell R Horn, D.O.
Individual provider Active NPI Family Medicine Physician · Valley Center, KS
NPI 1528062148 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1528062148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0520832 (KS)
- Practice address
- 122 N Park Ave
Valley Center, KS 67147-2553 - Phone
- (316) 755-1511
- Fax
- (316) 755-0991
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.73 of 100
- Quality
- 54.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0520832 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Line Medical Inc | Past | Accepting new patients |
Interoperability endpoints
- russell.horn@khindirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0520832 | KS | Yes |
Addresses
Primary practice location
122 N Park Ave
Valley Center, KS 67147-2553
Mailing address
122 N Park Ave
Valley Center, KS 67147-2553
Phone (316) 755-1511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100229730E | Medicaid | KS | |
| 0000106575 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100416440A | Medicaid | KS | |
| P00057331 | Other | KS | RAIL ROAD MEDICARE |
| 100229730C | Medicaid | KS | |
| 103177 | Other | KS | BLUE CROSS INDIVIDUAL |
| 111178 | Other | KS | BLUE CROSS BLUE SHIELD |
| 607740 | Other | KS | FIRSTGUARD |
| 111178 | Other | KS | MEDICARE GROUP |
Other providers in Valley Center, KS
- Taylor Fellows
- Foerschler Chiropractic, LLC
- Jonathan Wesley Foerschler
- Giannetti & Ralston Eye Care, P.a.
- Alan B Herrman
- Howard Distribution Inc.
- Ict Physical Therapy LLC
- Ebony Nicole Jones
- Jeannette Larimer
- Leeker'S Family Foods Inc.
All providers in Valley Center, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.