Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 09, 2026.

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

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, maintains a secondary practice location in York, and is a graduate of Drexel University College Of Medicine (2019).

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
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Orthopaedic Surgery
217A OAK DR S
LAKE JACKSON, TX 77566
Orthopaedic Surgery (Sports Medicine)
217A OAK DR S
LAKE JACKSON, TX 77566

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.

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 42 days 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.