REAL SKIN DERMATOLOGY
NPI 1922658897
Dermatology in Gatesville, TX

Active since September 12, 2019CLIA Certified · 2 labs
1507 W MAIN ST, GATESVILLE, TX 76528(254) 265-7100 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 30, 2023, Nov 5, 2019, Sep 12, 2019 (3 updates tracked since 2019).

About Real Skin Dermatology NPPES

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

REAL SKIN DERMATOLOGY (NPI 1922658897) is a healthcare organization registered as a dermatology in Gatesville, Texas and active in the NPI registry since September 2019. The organization holds 2 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Russell Scott Rowe, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1922658897
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRUSSELL ROWE, MD, PA
Location Address1507 W MAIN STGatesville, TX 76528-1024
Mailing Address5100 Franklin Ave Ste CWaco, TX 76710-6922 · (254) 265-7100
Organization SubpartNo
Authorized OfficialRussell Scott RoweCeo/owner · (301) 919-0955
Enumeration DateSeptember 12, 2019
Last NPPES UpdateMay 30, 20233 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1922658897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1507 W MAIN ST, Gatesville, TX 76528

Other Names 1

Doing Business AsReal Skin Dermatology

Secondary Practice Locations 8

Location 15100 Franklin Ave Ste CWaco, TX 76710-6922 · Phone (254) 265-7100 · Fax (254) 875-0449
Location 210201 SH-16Comanche, TX 76442 · Phone (254) 265-7100 · Fax (254) 875-0449
Location 3303 N Brown StHamilton, TX 76531-1515 · Phone (254) 265-7100 · Fax (254) 875-0449
Location 4101 Posey AveClifton, TX 76634-1289 · Phone (254) 265-7100 · Fax (254) 875-0449
Location 5307 Live Oak StMarlin, TX 76661-2365 · Phone (254) 265-7100 · Fax (254) 875-0449
Location 61618 Canyon Creek Dr Ste 120Temple, TX 76502-3273 · Phone (254) 265-7100 · Fax (254) 875-0449
Location 73655 Highway 377 SBrownwood, TX 76801-5115 · Phone (254) 265-7100 · Fax (254) 875-0449
Location 81323 E Franklin St Ste 103Hillsboro, TX 76645-2679 · Phone (254) 265-7100 · Fax (254) 875-0449

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Real Skin Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Real Skin Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1215026232
1507 W MAIN ST
Gatesville, TX 76528
(254) 265-7100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669553582
1367 DOMINION PLZ
Tyler, TX 75703
(903) 534-6200
✔ PECOS✔ Accepts Medicare156 mi
Dermatology
NPI 1457713471
101 BODIN CIR
Travis Afb, CA 94535
(707) 423-5105
✔ PECOS✔ Accepts Medicare1,448 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2286824

Realskin Dermatology · Temple, TX
Active · expires Mar 30, 2028
CLIA Number45D2286824
Laboratory TypeIndependent
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorRussell S. Rowe
Laboratory Phone(254) 265-7100
Laboratory LocationRealskin Dermatology1618 Canyon Creek Dr., Temple, TX 76502
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 45D2196860

Realskin Dermatology · Waco, TX
Active · expires Apr 3, 2028
CLIA Number45D2196860
Laboratory TypeIndustrial
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorRussell S. Rowe
Laboratory Phone(254) 265-7100
Laboratory LocationRealskin Dermatology6612 Woodway Dr., Building A, Suite 2, Waco, TX 76712
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Rowe, MD, PA's NPI number?

The NPI number for Russell Rowe, MD, PA is 1922658897. It was assigned to this organization in the NPPES registry on September 12, 2019. The provider is doing business as Real Skin Dermatology.

Where is Russell Rowe, MD, PA located?

Russell Rowe, MD, PA is located at 1507 W Main St, Gatesville, TX 76528. The listed phone number is (254) 265-7100.

What is Russell Rowe, MD, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Russell Rowe, MD, PA enrolled in Medicare?

Yes. Russell Rowe, MD, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Russell Rowe, MD, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Russell Rowe, MD, PA, in Dermatology and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Russell Rowe, MD, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Russell Rowe, MD, PA accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Russell Rowe, MD, PA 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 Rowe, MD, PA was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.