RUSSELL WAYNE TYNES MD
NPI 1851323810
Internal Medicine in Shreveport, LA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
460 ASHLEY RIDGE BLVD, 500, SHREVEPORT, LA 71106(318) 212-1610(866) 455-7515 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Wayne Tynes Md NPPES

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

RUSSELL WAYNE TYNES MD (NPI 1851323810) is an individual internal medicine provider in Shreveport, Louisiana, licensed in Louisiana (016884) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1982).

NPPES Registry Identity

NPI1851323810
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRUSSELL WAYNE TYNESCredential: MD
Location Address460 ASHLEY RIDGE BLVD, 500Shreveport, LA 71106-7228
Mailing Address460 Ashley Ridge Blvd, 500Shreveport, LA 71106-7228 · (318) 212-1610 · Fax (866) 455-7515
Fax(866) 455-7515
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1982
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 29, 2009
NPI 1851323810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · 016884
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
460 ASHLEY RIDGE BLVD, Shreveport, LA 71106

Other Identifiers 3

Medicare UPINB61615
Medicare PIN5M069LA
Medicaid1351661LA

Accepted 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

Russell Wayne Tynes Md 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 ID446347579
PECOS Enrollment IDI20071106000319
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,103 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
414 services130 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes 99423
This service involves a week-long digital assessment and management program for existing patients. It includes continuous health monitoring, virtual consultations, and personalized treatment plans. The total time spent is 21 minutes or more, ensuring comprehensive care.
364 services140 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
334 services169 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services102 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
163 services156 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71106 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%57 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers20 claims55 services$19.21 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers25 claims25 services$56.55 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers18 claims18 services$18.44 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers26 claims26 services$14.87 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers30 claims164 services$2.26 avg. paid by Medicare
Filter, non disposable, used with positive airway pressure device A7039
DME-Other DME · category DE001N
3 suppliers12 claims12 services$5.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
460 ASHLEY RIDGE BLVD, STE 600
SHREVEPORT, LA 71106
Community/Behavioral Health
460 ASHLEY RIDGE BLVD, SUITE 200
SHREVEPORT, LA 71106
Physician Assistant
460 ASHLEY RIDGE BLVD, STE 600
SHREVEPORT, LA 71106
Chiropractor
460 ASHLEY RIDGE BLVD, SUITE 200
SHREVEPORT, LA 71106
Chiropractor
460 ASHLEY RIDGE BLVD, SUITE 200
SHREVEPORT, LA 71106
Clinical Medical Laboratory
460 ASHLEY RIDGE BLVD, SUITE 100
SHREVEPORT, LA 71106

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 Russell Tynes's NPI number?

The NPI number for Russell Tynes is 1851323810. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Russell Tynes located?

Russell Tynes practices at 460 Ashley Ridge Blvd 500, Shreveport, LA 71106. The listed phone number is (318) 212-1610.

What is Russell Tynes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Russell Tynes enrolled in Medicare?

Yes. Russell Tynes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Russell Tynes accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Russell Tynes 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 Russell Tynes affiliated with any hospitals?

According to CMS data, Russell Tynes is affiliated with Christus Shreveport-Bossier Health System and Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Russell Tynes was last updated on April 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.