DR. MOLLY ELISE RUSSO MD
NPI 1497312268
Surgery in Lake Jackson, TX

Q: What is Molly Russo's NPI number?

The NPI number for Molly Russo is 1497312268. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Q: What is Molly Russo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Molly Russo was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 28, 2019PECOS Enrolled

217A OAK DR S, LAKE JACKSON, TX 77566(979) 299-3100(979) 266-9598 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2026, May 28, 2019 (2 updates tracked since 2019).

On this page

About Dr. Molly Elise Russo Md NPPES

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

DR. MOLLY ELISE RUSSO MD (NPI 1497312268) is an individual surgery provider in Lake Jackson, Texas, licensed in Texas (W4591) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Brazosport, and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1497312268

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. MOLLY ELISE RUSSOCredential: MD

Location Address217A OAK DR SLake Jackson, TX 77566-5675

Mailing Address217a Oak Dr SLake Jackson, TX 77566-5675 · (979) 299-3100 · Fax (979) 266-9598

Phone(979) 299-3100

Fax(979) 266-9598

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2019

Enumeration DateMay 28, 2019

Last NPPES UpdateJune 30, 20262 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1497312268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TX · W4591✔ Licensed in PA · MT217904

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.

217A OAK DR S, Lake Jackson, TX 77566

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Secondary Practice Location 1

Location 11001 S George StYork, PA 17403-3676 · Phone (717) 851-2427

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Molly Elise Russo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416284252

PECOS Enrollment IDI20260518000478

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.

Medicare Billing Reassignment

Medicare enrollment records show Molly Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baylor St. Luke's Medical Group

81 mi

Internal Medicine

17350 ST LUKES WAY STE 400
The Woodlands, TX 77384

Reassigned Medicare billing, Texas enrollment
169 clinicians in this Medicare group

NPI 1740485879 (936) 266-3513

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

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Brazosport

Acute Care Hospitals · Lake Jackson, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450072

Location100 Medical DriveLake Jackson, TX 77566 · Brazoria County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77566 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

$88.15 typical visit price

range $57.16 – $172.89

Typical copayment $22.03 (range $14.29 – $43.22)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.45 – $141.27

Typical copayment $17.82 (range $4.61 – $35.31)

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 2

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

STEVEN DALE EGGLESTON M.D.

Orthopaedic Surgery

217A OAK DR S
LAKE JACKSON, TX 77566

Brazoria County (979) 299-3100

DR. CHARLES VEGA M.D.

Orthopaedic Surgery (Sports Medicine)

217A OAK DR S
LAKE JACKSON, TX 77566

Brazoria County (979) 299-6900

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 Molly Russo's NPI number?

The NPI number for Molly Russo is 1497312268. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Molly Russo located?

Molly Russo practices at 217A Oak Dr S, Lake Jackson, TX 77566. The listed phone number is (979) 299-3100.

What is Molly Russo's specialty?

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

Is Molly Russo enrolled in Medicare?

Yes. Molly Russo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Molly Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Russo reassigns Medicare benefits to Baylor St. Luke's Medical Group (The Woodlands, TX). 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 Molly Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Molly Russo accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Molly Russo 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 Molly Russo affiliated with any hospitals?

According to CMS data, Molly Russo is affiliated with Chi St Luke's Health Brazosport.

When was this NPI record last updated?

The NPPES record for Molly Russo was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.