DR. RUSSELL EUGENE FOTHERGILL M.D.
NPI 1063472504
Obstetrics & Gynecology in Temple, TX

Q: What is Russell Fothergill's NPI number?

The NPI number for Russell Fothergill is 1063472504. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Russell Fothergill's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment

1713 SW H K DODGEN LOOP STE 100, TEMPLE, TX 76502(254) 771-8100(254) 771-8101 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2021, Sep 6, 2019 (2 updates tracked since 2019).

On this page

About Dr. Russell Eugene Fothergill M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL EUGENE FOTHERGILL M.D. (NPI 1063472504) is an individual obstetrics & gynecology provider in Temple, Texas, licensed in Texas (L2890) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1063472504

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. RUSSELL EUGENE FOTHERGILLCredential: M.D.

Location Address1713 SW H K DODGEN LOOP STE 100Temple, TX 76502-1836

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111

Phone(254) 771-8100

Fax(254) 771-8101

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2000

Enumeration DateMarch 27, 2006

Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration

NPPES CertifiedDecember 8, 2021

✔ NPI 1063472504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · L2890

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1713 SW H K DODGEN LOOP STE 100, Temple, TX 76502

Open in Google Maps ↗

Secondary Practice Location 1

Location 12401 S 31st StTemple, TX 76508-0001 · Phone (254) 724-2111

Other Identifiers 4

OtherP00195392TX · Rr/medicare

Other1659237-01TX · Cshcn

Medicaid1659237-01TX

Other8P1481TX · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Russell Eugene Fothergill M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224009766

PECOS Enrollment IDI20040805001348

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALEIGH ANN BARNES FNP-C

Nurse Practitioner (Family)