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RUSSELL ANDREW WILSON MD
NPI 1427057736
Surgery in Fayetteville, GA

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
1265 HIGHWAY 54 W STE 500B, FAYETTEVILLE, GA 30214(770) 719-5660(678) 336-5955 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2020, May 24, 2019 (2 updates tracked since 2019).

About Russell Andrew Wilson Md NPPES

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

RUSSELL ANDREW WILSON MD (NPI 1427057736) is an individual surgery provider in Fayetteville, Georgia, licensed in Georgia (040590) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1991).

NPPES Registry Identity

NPI1427057736
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRUSSELL ANDREW WILSONCredential: MD
Location Address1265 HIGHWAY 54 W STE 500BFayetteville, GA 30214-4556
Mailing Address1265 Highway 54 W, Suite 500bFayetteville, GA 30214-4548 · (770) 719-5660 · Fax (678) 817-4339
Phone(770) 719-5660
Fax(678) 336-5955
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991
Enumeration DateJuly 19, 2005
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1427057736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 040590
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1265 HIGHWAY 54 W STE 500B, Fayetteville, GA 30214
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Other Names 1

Professional Name (2)Russell A Wilson

Other Identifiers 2

Medicaid00711389CGA
OtherP00081030GA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Russell Andrew Wilson Md 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 ID5092778688
PECOS Enrollment IDI20041104000918
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 6

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.

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.
47 services47 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.
20 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
1 supplier12 claims12 services$28.52 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier12 claims12 services$32.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WALKER SHEARON MD
Surgery
1265 HIGHWAY 54 W STE 500B
FAYETTEVILLE, GA 30214
Fayette County (404) 265-4411
DENNIS E CHOAT MD
Colon & Rectal Surgery
1265 HIGHWAY 54 W STE 500B
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5660
FAYETTE SURGICAL ASSOCIATES, LLC
Surgery
1265 HIGHWAY 54 W STE 500B
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5660

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 Wilson's NPI number?

The NPI number for Russell Wilson is 1427057736. It was assigned to this individual provider in the NPPES registry on July 19, 2005. The provider is also known as Russell A Wilson.

Where is Russell Wilson located?

Russell Wilson practices at 1265 Highway 54 W Ste 500B, Fayetteville, GA 30214. The listed phone number is (770) 719-5660.

What is Russell Wilson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Russell Wilson enrolled in Medicare?

Yes. Russell Wilson 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 Wilson accept?

Health plans from Alliant Health Plans, Inc. list Russell Wilson 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 Wilson affiliated with any hospitals?

According to CMS data, Russell Wilson is affiliated with Piedmont Henry Hospital, Piedmont Fayette Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Russell Wilson was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.