RUSSELL DEGROOTE MD PC
NPI 1033278155
Orthopaedic Surgery in Ketchikan, AK
About Russell Degroote Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSELL DEGROOTE MD PC (NPI 1033278155) is a healthcare organization registered as an orthopaedic surgery in Ketchikan, Alaska and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2027, maintains a secondary practice location in Ketchikan, and lists Russell A Degroote, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Russell Degroote Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Russell Degroote MD PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 02D2242422
Russell Degroote MD, PC · Ketchikan, AKFrequently 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 Russell Degroote MD PC's NPI number?
The NPI number for Russell Degroote MD PC is 1033278155. It was assigned to this organization in the NPPES registry on December 6, 2006.
Where is Russell Degroote MD PC located?
Russell Degroote MD PC is located at 25 Jefferson Way Ste 101, Ketchikan, AK 99901. The listed phone number is (907) 247-9999.
What is Russell Degroote MD PC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Russell Degroote MD PC enrolled in Medicare?
Yes. Russell Degroote MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Russell Degroote MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Russell Degroote MD PC, in Certified Nurse Midwife (CNM), Nurse Practitioner, Obstetrics/Gynecology and Orthopedic Surgery. A 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 the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Russell Degroote MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2242422) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Russell Degroote MD PC accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Russell Degroote MD PC 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 Russell Degroote MD PC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Russell Degroote Md Pc · NPI 1033278155
Orthopaedic Surgery organization in Ketchikan, Alaska. Organization record, active in the CMS NPPES registry since December 6, 2006.
## Identity
- **NPI:** 1033278155 (Entity type: Organization)
- **Enumerated:** December 6, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Russell Degroote, OWNER
## Practice location
- **Address:** 25 JEFFERSON WAY STE 101, Ketchikan, AK 99901-5953
- **Phone:** (907) 247-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Nurse Midwife (CNM) (1), Nurse Practitioner (1), Obstetrics/Gynecology (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2026
- **Other identifiers:** Medicaid 51100231 (CO)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1033278155) · Data from the CMS NPPES public registry.