RANDALL H. NATIONS M.D.
NPI 1235135369
Family Medicine in Breckenridge, CO

Active since June 23, 2005Opted out of Medicare · through Feb 13, 2027
400 N PARK AVE, # 1-A, BRECKENRIDGE, CO 80424(970) 547-9200(970) 262-2196 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall H. Nations M.d. NPPES

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

RANDALL H. NATIONS M.D. (NPI 1235135369) is an individual family medicine provider in Breckenridge, Colorado, licensed in Colorado (37321) and active in the NPI registry since June 2005. He has opted out of Medicare through February 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235135369
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDALL H. NATIONSCredential: M.D.
Location Address400 N PARK AVE, # 1-ABreckenridge, CO 80424
Mailing AddressPo Box 911416Denver, CO 80291-1416 · (970) 547-9200 · Fax (970) 262-2196
Fax(970) 262-2196
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateJuly 7, 2014
NPI 1235135369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · 37321
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 N PARK AVE, Breckenridge, CO 80424

Other Identifiers 3

Medicare UPING36443
Medicare ID-Type UnspecifiedG6438
Medicaid01373216CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Randall H. Nations M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2019 through February 13, 2027.

Opt-Out Effective DateFebruary 13, 2019
Opt-Out In Effect ThroughFebruary 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80424 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 9

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

Family Medicine
400 N PARK AVE, STE 1-A
BRECKENRIDGE, CO 80424
Dentist (General Practice)
400 N PARK AVE, SUITE 12
BRECKENRIDGE, CO 80424
Pharmacist
400 N PARK AVE
BRECKENRIDGE, CO 80424
Family Medicine
400 N PARK AVE, SUITE 1A
BRECKENRIDGE, CO 80424
Pharmacist
400 N PARK AVE
BRECKENRIDGE, CO 80424
Dentist
400 N PARK AVE, #12A
BRECKENRIDGE, CO 80424
Pharmacy (Community/Retail Pharmacy)
400 N PARK AVE
BRECKENRIDGE, CO 80424
Pharmacist
400 N PARK AVE
BRECKENRIDGE, CO 80424

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 Nations's NPI number?

The NPI number for Randall Nations is 1235135369. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Randall Nations located?

Randall Nations practices at 400 N Park Ave # 1-A, Breckenridge, CO 80424. The listed phone number is (970) 547-9200.

What is Randall Nations's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Randall Nations enrolled in Medicare?

No. Randall Nations has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Randall Nations was last updated on July 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.