DR. RANDALL J RUSSELL D.D.S.
NPI 1013170968
Dentist - Oral and Maxillofacial Surgery in Centennial, CO
About Dr. Randall J Russell D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDALL J RUSSELL D.D.S. (NPI 1013170968) is an individual oral and maxillofacial surgery provider in Centennial, Colorado, licensed in Colorado (DEN.00201913) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Randall J Russell D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Randall Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Highlands Ranch, CO 80129
- Reassigned Medicare billing, Colorado enrollment
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AURORA, CO 80015
AURORA, CO 80015
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Randall Russell's NPI number?
The NPI number for Randall Russell is 1013170968. It was assigned to this individual provider in the NPPES registry on July 9, 2008.
Where is Randall Russell located?
Randall Russell practices at 20971 E Smoky Hill Rd Suite 201, Centennial, CO 80015. The listed phone number is (720) 870-1451.
What is Randall Russell's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Randall Russell enrolled in Medicare?
Yes. Randall Russell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Randall Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Russell reassigns Medicare benefits to Trauma And Emergency Subspecialty Surgeons PLLC (Highlands Ranch, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Russell accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Randall Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Randall Russell was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Randall J Russell, D.D.S. · NPI 1013170968
Oral and Maxillofacial Surgery provider in Centennial, Colorado. Individual provider, active in the CMS NPPES registry since July 9, 2008.
## Identity
- **NPI:** 1013170968 (Entity type: Individual)
- **Enumerated:** July 9, 2008
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DEN.00201913 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20971 E SMOKY HILL RD, SUITE 201, Centennial, CO 80015-5186
- **Phone:** (720) 870-1451 · **Fax:** (720) 870-1456
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Trauma And Emergency Subspecialty Surgeons PLLC (NPI 1740543933, Highlands Ranch, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1013170968) · Data from the CMS NPPES public registry.