1. Home
  2. Directory
  3. Missouri
  4. Bridgeton
  5. Orthopaedic Surgery
  6. NPI Profile

RANDALL D ROUSH MD
NPI 1255357091
Orthopaedic Surgery in Bridgeton, MO

Active since July 14, 2006PECOS Enrolled
12266 DEPAUL DR, 110, BRIDGETON, MO 63044(314) 291-7900(314) 291-7914 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randall D Roush Md NPPES

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

RANDALL D ROUSH MD (NPI 1255357091) is an individual orthopaedic surgery provider in Bridgeton, Missouri, licensed in Missouri (R9C72) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255357091
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRANDALL D ROUSHCredential: MD
Location Address12266 DEPAUL DR, 110Bridgeton, MO 63044-2514
Mailing Address1805 Summer Blossom PlChesterfield, MO 63017-5672
Phone(314) 291-7900
Fax(314) 291-7914
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 3, 2011
✔ NPI 1255357091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · R9C72
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
12266 DEPAUL DR, Bridgeton, MO 63044
Open in Google Maps ↗

Other Identifiers 3

Medicaid207746603MO
Medicare ID-Type Unspecified007010855MO
Medicare UPINA13445MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall D Roush Md 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 63044 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 7

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

TERRY J WEIS DO
Orthopaedic Surgery
12266 DEPAUL DR, 110
BRIDGETON, MO 63044
St. Louis County (314) 291-7900
NEUROLOGICAL DIAGNOSTICS, LLC
Psychiatry & Neurology (Neurology)
12266 DEPAUL DR, SUITE 130
BRIDGETON, MO 63044
St. Louis County (314) 291-2446
DR. JOSHUA STUART GLASER MD
Surgery
12266 DEPAUL DR, SUITE 305
BRIDGETON, MO 63044
St. Louis County (314) 770-0991
DR. ERIKA RENEE ALBERTY PHARM.D.
Pharmacist
12266 DEPAUL DR, SUITE 105
BRIDGETON, MO 63044
St. Louis County (314) 344-7300
ORTHOTIC AND PROSTHETIC LAB, INC.
Prosthetic/Orthotic Supplier
12266 DEPAUL DR, SUITE 120
BRIDGETON, MO 63044
St. Louis County (314) 739-9300
DR. THOMAS MICHAEL GOTSIS DDS
Dentist (General Practice)
12266 DEPAUL DR, STE 325
BRIDGETON, MO 63044
St. Louis County (314) 291-9000
JANET R KNEBEL RN
Registered Nurse (Enterostomal Therapy)
12266 DEPAUL DR, SUITE 305
BRIDGETON, MO 63044
St. Louis County (314) 770-0991

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 Randall Roush's NPI number?

The NPI number for Randall Roush is 1255357091. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Randall Roush located?

Randall Roush practices at 12266 Depaul Dr 110, Bridgeton, MO 63044. The listed phone number is (314) 291-7900.

What is Randall Roush's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Randall Roush enrolled in Medicare?

Yes. Randall Roush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Roush was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.