RANDALL D ROUSH MD
NPI 1255357091
Orthopaedic Surgery in Bridgeton, MO
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
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randall D Roush Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Randall Roush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 697 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
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.
Which organization bills Medicare for Randall Roush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Roush reassigns Medicare benefits to Ssm Medical Group, Inc. (Fenton, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Roush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Randall D Roush, MD · NPI 1255357091
Orthopaedic Surgery physician in Bridgeton, Missouri. Individual provider, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1255357091 (Entity type: Individual)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** R9C72 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12266 DEPAUL DR, 110, Bridgeton, MO 63044-2514
- **Phone:** (314) 291-7900 · **Fax:** (314) 291-7914
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ssm Medical Group, Inc. (NPI 1700966207, Fenton, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2011
- **Other identifiers:** Medicaid 207746603 (MO); Medicare ID-Type Unspecified 007010855 (MO); Medicare UPIN A13445 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1255357091) · Data from the CMS NPPES public registry.