GORDON J RUSSO MD
NPI 1083612469
Dermatology - Procedural Dermatology in Gretna, LA

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
120 MEADOWCREST ST, SUITE 160, GRETNA, LA 70056(504) 391-7620(504) 391-7524 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gordon J Russo Md NPPES

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

GORDON J RUSSO MD (NPI 1083612469) is an individual procedural dermatology provider in Gretna, Louisiana, licensed in Louisiana (015208) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1979).

NPPES Registry Identity

NPI1083612469
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameGORDON J RUSSOCredential: MD
Location Address120 MEADOWCREST ST, SUITE 160Gretna, LA 70056-5255
Mailing Address3725 Lake Michael CtGretna, LA 70056-8326
Fax(504) 391-7524
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1979
Enumeration DateJuly 11, 2005
Last NPPES UpdateFebruary 3, 2010
NPI 1083612469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in LA · 015208
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
120 MEADOWCREST ST, Gretna, LA 70056

Other Identifiers 3

Medicare UPINB65886LA
Medicare ID-Type Unspecified55856LA
Medicaid1329495LA

Accepted 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

Gordon J Russo Md 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 ID8527088939
PECOS Enrollment IDI20100810000014
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.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,846 services141 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
475 services175 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
391 services149 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
323 services160 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services90 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
130 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70056 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
120 MEADOWCREST ST, SUITE 300
GRETNA, LA 70056
Dermatology (Procedural Dermatology)
120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056
Dermatology (Procedural Dermatology)
120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056
Obstetrics & Gynecology
120 MEADOWCREST ST, SUITE 350
GRETNA, LA 70056
Psychiatry & Neurology (Neurology)
120 MEADOWCREST ST, STE 420
GRETNA, LA 70056
Otolaryngology
120 MEADOWCREST ST, SUITE 200
GRETNA, LA 70056
Internal Medicine
120 MEADOWCREST ST, SUITE 380
GRETNA, LA 70056
Durable Medical Equipment & Medical Supplies
120 MEADOWCREST ST
GRETNA, LA 70056

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 Gordon Russo's NPI number?

The NPI number for Gordon Russo is 1083612469. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Gordon Russo located?

Gordon Russo practices at 120 Meadowcrest St Suite 160, Gretna, LA 70056. The listed phone number is (504) 391-7620.

What is Gordon Russo's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Gordon Russo enrolled in Medicare?

Yes. Gordon Russo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gordon Russo accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Gordon Russo 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 Gordon Russo was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.