MR. RANDY PAUL VAWDREY NP
NPI 1376568493
Nurse Practitioner - Primary Care in Pocatello, ID

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
495 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 478-7422 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Randy Paul Vawdrey Np NPPES

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

MR. RANDY PAUL VAWDREY NP (NPI 1376568493) is an individual primary care provider in Pocatello, Idaho, licensed in Idaho (NP-659) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1376568493
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. RANDY PAUL VAWDREYCredential: NP
Location Address495 YELLOWSTONE AVEPocatello, ID 83201-4531
Mailing Address1743 Delmar PlacePocatello, ID 83201 · (208) 238-8145
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1376568493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in ID · NP-659
495 YELLOWSTONE AVE, Pocatello, ID 83201

Other Identifiers 1

Medicare UPINQ38905ID

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 and accepts Medicare assignment

Mr. Randy Paul Vawdrey Np 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 ID1052366242
PECOS Enrollment IDI20050321000907
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.

Areas of Expertise CMS Part B claims 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
61 services47 patients
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.
61 services41 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
50 services44 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.
33 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physical Therapist
495 YELLOWSTONE AVE, SUITE A
POCATELLO, ID 83201
Physician Assistant
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Non-Pharmacy Dispensing Site
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Physician Assistant
495 YELLOWSTONE AVE, PHYSICIANS IMMEDIATE CARE CENTER
POCATELLO, ID 83201
Nurse Practitioner (Family)
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Clinic/Center (Urgent Care)
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Physician Assistant
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Family Medicine
495 YELLOWSTONE AVE
POCATELLO, ID 83201

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 Randy Vawdrey's NPI number?

The NPI number for Randy Vawdrey is 1376568493. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Randy Vawdrey located?

Randy Vawdrey practices at 495 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 478-7422.

What is Randy Vawdrey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Randy Vawdrey enrolled in Medicare?

Yes. Randy Vawdrey 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.

What insurance does Randy Vawdrey accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and University of Utah Health Plans list Randy Vawdrey 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 Randy Vawdrey affiliated with any hospitals?

According to CMS data, Randy Vawdrey is affiliated with Portneuf Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Randy Vawdrey was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.