KIMBERLY A RUSSELL MD
NPI 1174505796
Family Medicine in Kingsland, TX

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
105 FM 2342, KINGSLAND, TX 78639(325) 388-9400(325) 388-9422 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly A Russell Md NPPES

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

KIMBERLY A RUSSELL MD (NPI 1174505796) is an individual family medicine provider in Kingsland, Texas, licensed in Texas (J6710) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of University Of Texas Medical School At San Antonio (1993).

NPPES Registry Identity

NPI1174505796
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY A RUSSELLCredential: MD
Location Address105 FM 2342Kingsland, TX 78639-6010
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Fax(325) 388-9422
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1993
Enumeration DateNovember 18, 2005
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedAugust 31, 2020
NPI 1174505796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J6710
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 FM 2342, Kingsland, TX 78639

Other Identifiers 5

Other130873101TX · Firstcare
Medicaid152231001TX
Other82693TX · Scott White
Other8398K2TX · Bcbs
Medicaid151137001TX

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

Kimberly A Russell 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 ID6608949656
PECOS Enrollment IDI20080723000854
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 4

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

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451365
Location3201 S Water StBurnet, TX 78611 · Burnet County
Emergency services

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78639 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims28 services$6.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Occupational Therapist
105 FM 2342
KINGSLAND, TX 78639
Nurse Practitioner (Family)
105 FM 2342
KINGSLAND, TX 78639
Family Medicine
105 FM 2342
KINGSLAND, TX 78639
Internal Medicine
105 FM 2342
KINGSLAND, TX 78639
Nurse Practitioner (Family)
105 FM 2342
KINGSLAND, TX 78639
Family Medicine
105 FM 2342
KINGSLAND, TX 78639
Physical Therapist
105 FM 2342
KINGSLAND, TX 78639
Nurse Practitioner (Primary Care)
105 FM 2342
KINGSLAND, TX 78639

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 Kimberly Russell's NPI number?

The NPI number for Kimberly Russell is 1174505796. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Kimberly Russell located?

Kimberly Russell practices at 105 Fm 2342, Kingsland, TX 78639. The listed phone number is (325) 388-9400.

What is Kimberly Russell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Russell enrolled in Medicare?

Yes. Kimberly Russell 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 Kimberly Russell accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Kimberly 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.

Is Kimberly Russell affiliated with any hospitals?

According to CMS data, Kimberly Russell is affiliated with Baylor Scott & White Medical Center - Temple, Ascension Seton Highland Lakes, Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Kimberly Russell was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.