DR. RANDAL BURKHOLDER D.C.
NPI 1295737039
Chiropractor in Ephrata, PA
About Dr. Randal Burkholder D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDAL BURKHOLDER D.C. (NPI 1295737039) is an individual chiropractor in Ephrata, Pennsylvania, licensed in Pennsylvania (DC8611) and active in the NPI registry since August 2005. He is a graduate of Life Chiropractic College (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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. Randal Burkholder D.c. 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 Reassignment
Medicare enrollment records show Randal Burkholder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ephrata, PA 17522
- Reassigned Medicare billing, Pennsylvania enrollment
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
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Randal Burkholder's NPI number?
The NPI number for Randal Burkholder is 1295737039. It was assigned to this individual provider in the NPPES registry on August 11, 2005.
Where is Randal Burkholder located?
Randal Burkholder practices at 809 N State St, Ephrata, PA 17522. The listed phone number is (717) 738-3474.
What is Randal Burkholder's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Randal Burkholder enrolled in Medicare?
Yes. Randal Burkholder 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 organization bills Medicare for Randal Burkholder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randal Burkholder reassigns Medicare benefits to Burkholder Chiropractic Clinic, P.C. (Ephrata, PA). 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 Randal Burkholder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randal Burkholder accept?
Health plans from Providence Health Plan list Randal Burkholder 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 Randal Burkholder was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.