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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RANDI LEE DETTLING PA-C
NPI 1306703822
Physician Assistant in Fredericksburg, VA

Active since January 07, 2026PECOS EnrolledAccepts Medicare Assignment
3516 PLANK RD STE 5A, FREDERICKSBURG, VA 22407(667) 668-2566 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Randi Lee Dettling Pa-c NPPES

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

RANDI LEE DETTLING PA-C (NPI 1306703822) is an individual physician assistant in Fredericksburg, Virginia, licensed in Virginia (0110012141) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1306703822
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRANDI LEE DETTLINGCredential: PA-C
Location Address3516 PLANK RD STE 5AFredericksburg, VA 22407-6861
Mailing Address2331 York Rd Ste 100Timonium, MD 21093-2246 · (667) 668-2566
Phone(667) 668-2566
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 7, 2026
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1306703822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in VA · 0110012141✔ Licensed in MD · C0010358
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3516 PLANK RD STE 5A, Fredericksburg, VA 22407
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Randi Lee Dettling Pa-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.

PECOS PAC ID8022590934
PECOS Enrollment IDI20260228000456
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 22407 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randi Dettling's NPI number?

The NPI number for Randi Dettling is 1306703822. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Randi Dettling located?

Randi Dettling practices at 3516 Plank Rd Ste 5A, Fredericksburg, VA 22407. The listed phone number is (667) 668-2566.

What is Randi Dettling's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Randi Dettling enrolled in Medicare?

Yes. Randi Dettling 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.

When was this NPI record last updated?

The NPPES record for Randi Dettling was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.