DR. RUSSELL BENJAMIN EDWARDS DO
NPI 1629305404
Obstetrics & Gynecology in Fort Worth, TX

Q: What is Russell Edwards's NPI number?

The NPI number for Russell Edwards is 1629305404. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Q: What is Russell Edwards's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Russell Edwards was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 16, 2009PECOS EnrolledAccepts Medicare Assignment

10840 TEXAS HEALTH TRL STE 250, FORT WORTH, TX 76244(817) 750-1310(817) 750-1311 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Apr 17, 2019, Oct 17, 2017 (3 updates tracked since 2017).

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About Dr. Russell Benjamin Edwards Do NPPES

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

DR. RUSSELL BENJAMIN EDWARDS DO (NPI 1629305404) is an individual obstetrics & gynecology provider in Fort Worth, Texas, licensed in Texas (N1312) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1629305404

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. RUSSELL BENJAMIN EDWARDSCredential: DO

Location Address10840 TEXAS HEALTH TRL STE 250Fort Worth, TX 76244-6850

Mailing AddressPo Box 2078Decatur, TX 76234 · (940) 626-1905 · Fax (940) 626-1901

Phone(817) 750-1310

Fax(817) 750-1311

Sole ProprietorNo

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2006

Enumeration DateNovember 16, 2009

Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1629305404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · N1312

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10840 TEXAS HEALTH TRL STE 250, Fort Worth, TX 76244

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Secondary Practice Location 1

Location 12451 S Fm 51, #200Decatur, TX 76234-3858 · Phone (940) 627-2409 · Fax (940) 626-4579

Other Identifiers 2

Medicaid284869901TX

Other8CN347TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Russell Benjamin Edwards Do 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 ID345427217

PECOS Enrollment IDI20110601000266

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.

Hospital Affiliations CMS Care Compare

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

Medical City Denton

Acute Care Hospitals · Denton, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450634

Location3535 South I35 EastDenton, TX 76210 · Denton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 8

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

CELESTE YVONNE WILLIAMS D.O.

Obstetrics & Gynecology