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DR. RUSSELL PENDLETON DPM
NPI 1932356789
Podiatrist - Foot & Ankle Surgery in Lake Worth, TX

Active since August 23, 2008PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
6312 AZLE AVE, LAKE WORTH, TX 76135(817) 238-8400(817) 238-8401 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2020, Oct 17, 2017 (2 updates tracked since 2017).

About Dr. Russell Pendleton Dpm NPPES

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

DR. RUSSELL PENDLETON DPM (NPI 1932356789) is an individual foot & ankle surgery provider in Lake Worth, Texas, licensed in Texas (1916) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains a secondary practice location in Willow Park.

NPPES Registry Identity

NPI1932356789
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. RUSSELL PENDLETONCredential: DPM
Location Address6312 AZLE AVELake Worth, TX 76135-2442
Mailing Address6312 Azle AveLake Worth, TX 76135-2442 · (817) 238-8400 · Fax (817) 238-8401
Phone(817) 238-8400
Fax(817) 238-8401
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2007
Enumeration DateAugust 23, 2008
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1932356789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in TX · 1916
6312 AZLE AVE, Lake Worth, TX 76135
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 Crown Pointe Blvd Ste 240Willow Park, TX 76087-1192 · Phone (817) 400-2004 · Fax (888) 843-5379

Other Identifiers 2

Medicaid214330702TX
Medicaid214330704TX

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 Pendleton Dpm 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 ID8022141662
PECOS Enrollment IDI20100803000201
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 11

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.

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.
366 services248 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
167 services68 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
165 services66 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
145 services145 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
97 services43 patients
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.
95 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Azle

Acute Care Hospitals · Azle, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450419
Location108 Denver TrailAzle, TX 76020 · Tarrant County
Emergency services

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%199 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%234 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.

Other Providers at the Same Location NPPES 2

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

ADVANCED FOOT AND ANKLE ASSOCIATES PLLC
Podiatrist (Foot & Ankle Surgery)
6312 AZLE AVE
LAKE WORTH, TX 76135
Tarrant County (817) 238-8400
MARK THOMPSON DPM
Podiatrist (Foot & Ankle Surgery)
6312 AZLE AVE
LAKE WORTH, TX 76135
Tarrant County (817) 238-8400

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 Pendleton's NPI number?

The NPI number for Russell Pendleton is 1932356789. It was assigned to this individual provider in the NPPES registry on August 23, 2008.

Where is Russell Pendleton located?

Russell Pendleton practices at 6312 Azle Ave, Lake Worth, TX 76135. The listed phone number is (817) 238-8400.

What is Russell Pendleton's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Russell Pendleton enrolled in Medicare?

Yes. Russell Pendleton 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 Pendleton 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 4 other insurers list Russell Pendleton 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 Pendleton affiliated with any hospitals?

According to CMS data, Russell Pendleton is affiliated with Texas Health Harris Methodist Hospital Fort Worth and Texas Health Harris Methodist Hospital Azle.

When was this NPI record last updated?

The NPPES record for Russell Pendleton was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.