THOMAS JOSEPH RUSSELL MD
NPI 1528051166
Dermatology in Brookfield, WI

Active since August 30, 2005PECOS Enrolled
13800 W NORTH AVE, STE 100, BROOKFIELD, WI 53005(262) 754-4488(262) 754-4940 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Joseph Russell Md NPPES

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

THOMAS JOSEPH RUSSELL MD (NPI 1528051166) is an individual dermatology provider in Brookfield, Wisconsin, licensed in Wisconsin (15093020) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528051166
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameTHOMAS JOSEPH RUSSELLCredential: MD
Location Address13800 W NORTH AVE, STE 100Brookfield, WI 53005-4974
Mailing Address13800 W North Ave, Ste 100Brookfield, WI 53005-4974 · (262) 754-4488 · Fax (262) 754-4940
Fax(262) 754-4940
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateApril 20, 2008
NPI 1528051166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WI · 15093020
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

13800 W NORTH AVE, Brookfield, WI 53005

Other Identifiers 3

Medicaid30899900WI
Other$$$$$$$$$000WI · Blue Cross/blue Shield
Medicare UPINB56211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thomas Joseph Russell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53005 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

Pediatrics (Neurodevelopmental Disabilities)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Speech-Language Pathologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE, STE 100
BROOKFIELD, WI 53005
Nurse Practitioner (Pediatrics)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Psychologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005

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 Thomas Russell's NPI number?

The NPI number for Thomas Russell is 1528051166. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Thomas Russell located?

Thomas Russell practices at 13800 W North Ave Ste 100, Brookfield, WI 53005. The listed phone number is (262) 754-4488.

What is Thomas Russell's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Thomas Russell enrolled in Medicare?

Yes. Thomas Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Russell was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.