DR. RANDY KEEGAN IDLER MD
NPI 1174145353
Family Medicine in Boston, MA
About Dr. Randy Keegan Idler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDY KEEGAN IDLER MD (NPI 1174145353) is an individual family medicine provider in Boston, Massachusetts, licensed in New York (325526) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Randy Keegan Idler 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.
Medicare Billing Reassignments
2Medicare enrollment records show Randy Idler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02109
- Reassigned Medicare billing, Massachusetts enrollment
- 350 clinicians in this Medicare group
Manhasset, NY 11030
- Reassigned Medicare billing, New York enrollment
- 99 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Randy Idler's NPI number?
The NPI number for Randy Idler is 1174145353. It was assigned to this individual provider in the NPPES registry on May 11, 2020.
Where is Randy Idler located?
Randy Idler practices at 50 Staniford St, Boston, MA 02114. The listed phone number is (617) 903-5000.
What is Randy Idler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Randy Idler enrolled in Medicare?
Yes. Randy Idler 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.
Which organizations bill Medicare for Randy Idler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Idler reassigns Medicare benefits to 2 organizations: Mass General Brigham Community Physicians Inc. (Boston, MA) and Mount Sinai School Of Medicine (Manhasset, NY). Each 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 Randy Idler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randy Idler accept?
Health plans from Anthem Blue Cross and Blue Shield list Randy Idler 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 Randy Idler was last updated on September 19, 2024. 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.
# Dr. Randy Keegan Idler, MD · NPI 1174145353
Family Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1174145353 (Entity type: Individual)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 325526 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 STANIFORD ST, Boston, MA 02114-2517
- **Phone:** (617) 903-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mass General Brigham Community Physicians Inc. (NPI 1265094122, Boston, MA); Mount Sinai School Of Medicine (NPI 1144659749, Manhasset, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174145353) · Data from the CMS NPPES public registry.