BRAZOS EYE SURGERY OF TEXAS
NPI 1285816850
Ophthalmology in Waco, TX

Active since December 05, 2007CLIA 45D2055860 · Waiver
201 LONDONDERRY DR, WACO, TX 76712(254) 772-4499(254) 772-4436 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brazos Eye Surgery Of Texas NPPES

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

BRAZOS EYE SURGERY OF TEXAS (NPI 1285816850) is a healthcare organization registered as an ophthalmology in Waco, Texas and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Shaye J Wooten, Insurance Billing, as its authorized official.

NPPES Registry Identity

NPI1285816850
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRUSSELL E SWANN M.D. PA
Location Address201 LONDONDERRY DRWaco, TX 76712-7902
Mailing Address201 Londonderry DrWaco, TX 76712-7902 · (254) 772-4499 · Fax (254) 772-4436
Fax(254) 772-4436
Organization SubpartNo
Authorized OfficialShaye J WootenInsurance Billing · (254) 772-4499
Enumeration DateDecember 5, 2007
Last NPPES UpdateOctober 23, 2012
✔ NPI 1285816850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · E5626
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
201 LONDONDERRY DR, Waco, TX 76712

Other Names 1

Doing Business AsBrazos Eye Surgery Of Texas

Other Identifiers 9

Medicaid085656902TX
Other1477717759TX · Npi
Medicare UPINB26798TX
Other1619130895TX · Npi
OtherDC9834TX · Rr Medicare Pin
Medicare NSC0477270001TX
Other1073518072TX · Npi
Other1841293016Npi
Medicare PIN00U43UTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brazos Eye Surgery Of Texas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20050414000217Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Brazos Eye Surgery Of Texas, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1407291420
201 LONDONDERRY DR
Waco, TX 76712
(254) 772-4499
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1801313382
5001 W WACO DR
Waco, TX 76710
(888) 792-8588
✔ PECOS✔ Accepts Medicare1.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2055860

Russell E Swann, PA D/B/A Brazos Eye Surgery Of Texas · Waco, TX
Active · expires Mar 17, 2027
CLIA Number45D2055860
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorForrest B. Swann
Laboratory Phone(254) 772-4499
Laboratory LocationRussell E Swann, PA D/B/A Brazos Eye Surgery Of Texas201 Londonderry, Waco, TX 76712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 E Swann M.D. PA's NPI number?

The NPI number for Russell E Swann M.D. PA is 1285816850. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is doing business as Brazos Eye Surgery Of Texas.

Where is Russell E Swann M.D. PA located?

Russell E Swann M.D. PA is located at 201 Londonderry Dr, Waco, TX 76712. The listed phone number is (254) 772-4499.

What is Russell E Swann M.D. PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Russell E Swann M.D. PA enrolled in Medicare?

Yes. Russell E Swann M.D. PA is registered in the Medicare PECOS enrollment system.

When is Russell E Swann M.D. PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Russell E Swann M.D. PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Russell E Swann M.D. PA, in Ophthalmology and Optometry. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Russell E Swann M.D. PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2055860) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Russell E Swann M.D. PA accept?

Health plans from WellPoint list Russell E Swann M.D. PA 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 Russell E Swann M.D. PA was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.