DR. RANDALL WAYNE STETTLER D.D.S.
NPI 1124244686
Dentist - Oral and Maxillofacial Surgery in La Mesa, CA

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
5565 GROSSMONT CENTER DR, BUILDING 1, SUITE 129, LA MESA, CA 91942(619) 463-4486(619) 463-6553 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randall Wayne Stettler D.d.s. NPPES

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

DR. RANDALL WAYNE STETTLER D.D.S. (NPI 1124244686) is an individual oral and maxillofacial surgery provider in La Mesa, California, licensed in California (39089) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Mesa, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1124244686
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RANDALL WAYNE STETTLERCredential: D.D.S.
Location Address5565 GROSSMONT CENTER DR, BUILDING 1, SUITE 129La Mesa, CA 91942-3020
Mailing Address5565 Grossmont Center Dr, Building 1, Suite 129La Mesa, CA 91942-3020 · (619) 463-4486 · Fax (619) 463-6553
Fax(619) 463-6553
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 17, 2007
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
NPI 1124244686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 39089
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5565 GROSSMONT CENTER DR, La Mesa, CA 91942

Secondary Practice Location 1

Location 18881 Fletcher Pkwy Ste 105CLA Mesa, CA 91942-3134 · Phone (619) 463-4486 · Fax (619) 463-6553

Other Identifiers 1

Other39089CA · License

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

Dr. Randall Wayne Stettler D.d.s. 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 ID6800933540
PECOS Enrollment IDI20091028000572
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 20

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

Otolaryngology
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101
LA MESA, CA 91942
Surgery
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
Otolaryngology
5565 GROSSMONT CENTER DR, SUITE# 352
LA MESA, CA 91942
Physical Therapist
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
Dentist (Prosthodontics)
5565 GROSSMONT CENTER DR, SUITE 110-1
LA MESA, CA 91942
Internal Medicine (Infectious Disease)
5565 GROSSMONT CENTER DR, STE 211
LA MESA, CA 91942
Dentist (General Practice)
5565 GROSSMONT CENTER DR, SUITE 356
LA MESA, CA 91942
Podiatrist (Foot Surgery)
5565 GROSSMONT CENTER DR, SUITE 152
LA MESA, CA 91942

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 Randall Stettler's NPI number?

The NPI number for Randall Stettler is 1124244686. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Randall Stettler located?

Randall Stettler practices at 5565 Grossmont Center Dr Building 1, Suite 129, La Mesa, CA 91942. The listed phone number is (619) 463-4486.

What is Randall Stettler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Randall Stettler enrolled in Medicare?

Yes. Randall Stettler 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 Randall Stettler accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Randall Stettler 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 Randall Stettler was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.