RANDOLPH F BLAKEMAN D.D.S.
NPI 1245442573
Dentist - General Practice in Glenville, NY

Active since May 07, 2007PECOS Enrolled
184 SARATOGA RD, GLENVILLE, NY 12302(518) 399-9450(518) 399-9465 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Randolph F Blakeman D.d.s. NPPES

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

RANDOLPH F BLAKEMAN D.D.S. (NPI 1245442573) is an individual general practice provider in Glenville, New York, licensed in New York (041658-1) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245442573
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDOLPH F BLAKEMANCredential: D.D.S.
Location Address184 SARATOGA RDGlenville, NY 12302-4515
Mailing Address184 Saratoga RdGlenville, NY 12302-4515 · (518) 399-9450 · Fax (518) 399-9465
Fax(518) 399-9465
Sole ProprietorYes
Enumeration DateMay 7, 2007
Last NPPES UpdateMay 24, 2016
NPI 1245442573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 041658-1
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

184 SARATOGA RD, Glenville, NY 12302

Other Identifiers 1

Medicaid01193911NY

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 (PECOS)

Randolph F Blakeman D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12302 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245442573, enumerated as an "individual" on May 07, 2007.

The provider is located at 184 SARATOGA RD GLENVILLE, NY 12302 and the phone number is (518) 399-9450.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.