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RANDALL J BJORK M.D.
NPI 1265434112
Psychiatry & Neurology - Neurology in Mishawaka, IN

Active since August 11, 2005PECOS Enrolled
611 E DOUGLAS RD STE 305, MISHAWAKA, IN 46545(574) 335-6450(574) 335-0643 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2026, Apr 16, 2021, Nov 7, 2019 (3 updates tracked since 2019).

About Randall J Bjork M.d. NPPES

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

RANDALL J BJORK M.D. (NPI 1265434112) is an individual neurology provider in Mishawaka, Indiana, licensed in Washington (MD60987866) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265434112
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRANDALL J BJORKCredential: M.D.
Location Address611 E DOUGLAS RD STE 305Mishawaka, IN 46545-1467
Mailing Address5215 Holy Cross PkwyMishawaka, IN 46545-1469 · (574) 335-8707 · Fax (574) 335-0760
Phone(574) 335-6450
Fax(574) 335-0643
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1978
Enumeration DateAugust 11, 2005
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1265434112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in WA · MD60987866✔ Licensed in CO · 29018
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
611 E DOUGLAS RD STE 305, Mishawaka, IN 46545
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Secondary Practice Locations 2

Location 116528 E Desmet CtSpokane Valley, WA 99216-3522 · Phone (509) 944-8970
Location 27180 E Orchard Rd, Ste 200Centennial, CO 80111-1724 · Phone (303) 771-0127 · Fax (303) 991-5961

Other Identifiers 1

Medicaid01290188CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall J Bjork M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678460912
PECOS Enrollment IDI20210415002028
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.

Medicare Billing Reassignment

Medicare enrollment records show Randall Bjork reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michiana Neuroscience, LLC
3.3 mi
Clinical Neuropsychologist
210 S RACE ST
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1750862959 (574) 229-9695

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
352 services254 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services34 patients
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.
37 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

BETH A JONES NP
Nurse Practitioner (Family)
611 E DOUGLAS RD STE 305
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6450
DR. FRANCISCO JAVIER GOMEZ-DOSSI M.D.
Psychiatry & Neurology (Neurology)
611 E DOUGLAS RD STE 305
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6450
DR. MARK A MUCKWAY M.D.
Psychiatry & Neurology (Neurology)
611 E DOUGLAS RD STE 305
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6450
MRS. JESSICA GRACE GLASSMAN NP
Nurse Practitioner (Family)
611 E DOUGLAS RD STE 305
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6450

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 Bjork's NPI number?

The NPI number for Randall Bjork is 1265434112. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Randall Bjork located?

Randall Bjork practices at 611 E Douglas Rd Ste 305, Mishawaka, IN 46545. The listed phone number is (574) 335-6450.

What is Randall Bjork's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Randall Bjork enrolled in Medicare?

Yes. Randall Bjork is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randall Bjork's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Bjork reassigns Medicare benefits to Michiana Neuroscience, LLC (Mishawaka, IN). The 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 Randall Bjork's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randall Bjork accept?

Health plans from CareSource list Randall Bjork 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 Randall Bjork affiliated with any hospitals?

According to CMS data, Randall Bjork is affiliated with Saint Joseph Regional Medical Center and Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for Randall Bjork was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.