DR. RUSSELL FOREST STANLEY D.O.
NPI 1356797740
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Tyler, TX

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
1100 E LAKE ST STE 260, TYLER, TX 75701(903) 590-5700(903) 590-5735 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Jun 6, 2024, Aug 21, 2023 and 2 more (5 updates tracked since 2020).

About Dr. Russell Forest Stanley D.o. NPPES

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

DR. RUSSELL FOREST STANLEY D.O. (NPI 1356797740) is an individual urogynecology and reconstructive pelvic surgery provider in Tyler, Texas, licensed in Texas (S0996) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1356797740
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. RUSSELL FOREST STANLEYCredential: D.O.
Location Address1100 E LAKE ST STE 260Tyler, TX 75701-3359
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 606-6400 · Fax (903) 606-1522
Fax(903) 590-5735
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateSeptember 10, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1356797740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in TX · S0996
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License S0996 (TX), DO.2123 (AL)
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 2123 (AL)
1100 E LAKE ST STE 260, Tyler, TX 75701

Secondary Practice Location 1

Location 1800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-5121

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

Dr. Russell Forest Stanley D.o. 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 ID1355633488
PECOS Enrollment IDI20201013002007
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
80 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services56 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
59 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
23 services21 patients
Plastic repair of vagina and tissue separating vagina, rectum, and bladder 57260
This procedure involves the surgical restoration of the body's lower passage and the tissue that separates it from the waste and urine disposal systems. It's done to improve comfort and function due to conditions like injury or aging.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Ut Health East Texas Pittsburg Hospital

Critical Access Hospitals · Pittsburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number451367
Location2701 Us Hwy 271 NPittsburg, TX 75686 · Camp County
Emergency services

Ut Health East Texas Quitman Hospital

Critical Access Hospitals · Quitman, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number451380
Location117 Winnsboro StreetQuitman, TX 75783 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 3

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

Obstetrics & Gynecology
1100 E LAKE ST STE 260
TYLER, TX 75701
Obstetrics & Gynecology
1100 E LAKE ST STE 260
TYLER, TX 75701
Nurse Practitioner
1100 E LAKE ST STE 260
TYLER, TX 75701

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 Stanley's NPI number?

The NPI number for Russell Stanley is 1356797740. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Russell Stanley located?

Russell Stanley practices at 1100 E Lake St Ste 260, Tyler, TX 75701. The listed phone number is (903) 590-5700.

What is Russell Stanley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Russell Stanley enrolled in Medicare?

Yes. Russell Stanley 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 Russell Stanley accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Russell Stanley 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 Russell Stanley affiliated with any hospitals?

According to CMS data, Russell Stanley is affiliated with Ut Health East Texas Tyler Regional Hospital, Ut Health East Texas Athens Hospital, The University Of Texas Health Science Center At Tyler, Ut Health East Texas Pittsburg Hospital and Ut Health East Texas Quitman Hospital.

When was this NPI record last updated?

The NPPES record for Russell Stanley was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.