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DR. RUSSELL KEITH WALL D.D.S.
NPI 1235385428
Dentist - General Practice in Branson, MO

Active since August 07, 2008PECOS Enrolled
221 W COLLEGE ST, BRANSON, MO 65616(417) 334-5999 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Russell Keith Wall D.d.s. NPPES

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

DR. RUSSELL KEITH WALL D.D.S. (NPI 1235385428) is an individual general practice provider in Branson, Missouri, licensed in Missouri (14141) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235385428
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RUSSELL KEITH WALLCredential: D.D.S.
Location Address221 W COLLEGE STBranson, MO 65616
Mailing Address221 W College StBranson, MO 65616 · (417) 334-5999
Phone(417) 334-5999
Sole ProprietorNo
Enumeration DateAugust 7, 2008
✔ NPI 1235385428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 14141
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
221 W COLLEGE ST, Branson, MO 65616
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Russell Keith Wall D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65616 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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 Russell Wall's NPI number?

The NPI number for Russell Wall is 1235385428. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Russell Wall located?

Russell Wall practices at 221 W College St, Branson, MO 65616. The listed phone number is (417) 334-5999.

What is Russell Wall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Russell Wall enrolled in Medicare?

Yes. Russell Wall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Wall was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.