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

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: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 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
Phone(262) 754-4488
Fax(262) 754-4940
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateSeptember 29, 2026
✔ 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
Open in Google Maps ↗

Other Identifiers 1

Medicaid30899900WI

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affiliated Dermatologists Sc
3.6 mi
Dermatology
1111 DELAFIELD ST STE 308
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1700829959 (262) 754-4488
The Medical College Of Wisconsin, Inc.
8.4 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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

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.

DR. MARK D SIMMS MD
Pediatrics (Neurodevelopmental Disabilities)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
AMY L MACK SINDELAR SLP
Speech-Language Pathologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
RYAN SACOTTE
Dermatology
13800 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 754-4488
JAMES PATRICK RUSSELL MD
Dermatology
13800 W NORTH AVE, STE 100
BROOKFIELD, WI 53005
Waukesha County (262) 754-4488
JANE J MCSWEENEY ARNP
Nurse Practitioner (Pediatrics)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
MS. DAWN M ZAHRT PHD
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
SAMANTHA L. WILSON PH.D.
Psychologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Waukesha County (262) 432-6600
MR. ROBERT L SCHUM PHD
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Waukesha County (262) 432-6626

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.

Which organizations bill Medicare for Thomas Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Russell reassigns Medicare benefits to 2 organizations: Affiliated Dermatologists Sc (Waukesha, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Thomas Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Russell was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.