RUSSELL DEAN HAVRANEK MD
NPI 1871672519
Internal Medicine - Gastroenterology in San Antonio, TX

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
77.36/100
CMS Quality Rating
8550 DATAPOINT DR, SUITE 200, SAN ANTONIO, TX 78229(210) 615-8308(210) 615-8313 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell Dean Havranek Md NPPES

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

RUSSELL DEAN HAVRANEK MD (NPI 1871672519) is an individual gastroenterology provider in San Antonio, Texas, licensed in Texas (K8633) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1998).

NPPES Registry Identity

NPI1871672519
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRUSSELL DEAN HAVRANEKCredential: MD
Location Address8550 DATAPOINT DR, SUITE 200San Antonio, TX 78229-3270
Mailing Address8550 Datapoint Dr, Suite 200San Antonio, TX 78229-3270 · (210) 615-8308 · Fax (210) 615-8313
Fax(210) 615-8313
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1998
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 29, 2015
NPI 1871672519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · K8633
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8550 DATAPOINT DR, San Antonio, TX 78229

Other Identifiers 3

Medicare PIN803623
Medicare UPINH21322TX
Medicaid145138703TX

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 Dean Havranek 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 ID2567417025
PECOS Enrollment IDI20050317000263
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 23

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
930 services268 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.
237 services175 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
196 services29 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
189 services139 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
170 services162 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
151 services137 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability87
Improvement Activities40
Cost60.96

Other Providers at the Same Location NPPES 10

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

Nurse Anesthetist, Certified Registered
8550 DATAPOINT DR, SUITE 100
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Specialist
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Nurse Practitioner
8550 DATAPOINT DR
SAN ANTONIO, TX 78229

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 Havranek's NPI number?

The NPI number for Russell Havranek is 1871672519. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Russell Havranek located?

Russell Havranek practices at 8550 Datapoint Dr Suite 200, San Antonio, TX 78229. The listed phone number is (210) 615-8308.

What is Russell Havranek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Russell Havranek enrolled in Medicare?

Yes. Russell Havranek 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 Havranek accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Russell Havranek 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.

When was this NPI record last updated?

The NPPES record for Russell Havranek was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.