RUSSELL L DOUNIES MD
NPI 1851354831
Surgery in Visalia, CA

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
205 S WEST ST, STE C, VISALIA, CA 93291(559) 627-0800(559) 627-0888 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell L Dounies Md NPPES

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

RUSSELL L DOUNIES MD (NPI 1851354831) is an individual surgery provider in Visalia, California, licensed in California (G56621) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1984).

NPPES Registry Identity

NPI1851354831
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRUSSELL L DOUNIESCredential: MD
Location Address205 S WEST ST, STE CVisalia, CA 93291
Mailing Address205 S West St, Ste CVisalia, CA 93291 · (559) 627-0800 · Fax (559) 627-0888
Fax(559) 627-0888
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1984
Enumeration DateApril 10, 2006
Last NPPES UpdateNovember 19, 2008
NPI 1851354831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · G56621
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.

205 S WEST ST, Visalia, CA 93291

Other Identifiers 2

Medicare UPINF00629
Medicare PIN00G566211CA

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 L Dounies 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 ID2062401227
PECOS Enrollment IDI20040511001623
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 6

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
189 services58 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.
130 services62 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.
89 services42 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
47 services29 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
38 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
7 suppliers67 claims4,120 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims1,006 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
4 suppliers22 claims591 services$7.10 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
5 suppliers22 claims717 services$0.91 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
5 suppliers41 claims1,543 services$2.02 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing A6223
DME-Medical/Surgical Supplies · category DA023N
5 suppliers16 claims534 services$2.35 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 5

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

Plastic Surgery
205 S WEST ST, SUITE A
VISALIA, CA 93291
Clinic/Center (Ambulatory Surgical)
205 S WEST ST, SUITE B
VISALIA, CA 93291
Orthopaedic Surgery
205 S WEST ST, SUITE E
VISALIA, CA 93291
Nurse Anesthetist, Certified Registered
205 S WEST ST, SUITE B
VISALIA, CA 93291
Surgery
205 S WEST ST, SUITE C
VISALIA, CA 93291

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 Dounies's NPI number?

The NPI number for Russell Dounies is 1851354831. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Russell Dounies located?

Russell Dounies practices at 205 S West St Ste C, Visalia, CA 93291. The listed phone number is (559) 627-0800.

What is Russell Dounies's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Russell Dounies enrolled in Medicare?

Yes. Russell Dounies 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.

When was this NPI record last updated?

The NPPES record for Russell Dounies was last updated on November 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.