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DR. RANDALL W. RUPPER MD, MPH
NPI 1457398703
Internal Medicine - Geriatric Medicine in Salt Lake City, UT

Active since June 02, 2006PECOS Enrolled
GRECC (182) BLDG. 2, VAMC, 500 FOOTHILL DRIVE, SALT LAKE CITY, UT 84148(801) 582-1565(801) 584-5640 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Randall W. Rupper Md, Mph NPPES

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

DR. RANDALL W. RUPPER MD, MPH (NPI 1457398703) is an individual geriatric medicine provider in Salt Lake City, Utah, licensed in Utah (5368958-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457398703
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. RANDALL W. RUPPERCredential: MD, MPH
Location AddressGRECC (182) BLDG. 2, VAMC, 500 FOOTHILL DRIVESalt Lake City, UT 84148-0001
Mailing AddressGrecc (182) Bldg. 2, Vamc, 500 Foothill DriveSalt Lake City, UT 84148-0001 · (801) 582-1565 · Fax (801) 584-5640
Phone(801) 582-1565
Fax(801) 584-5640
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1457398703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in UT · 5368958-1205
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
GRECC (182) BLDG. 2, VAMC, Salt Lake City, UT 84148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randall W. Rupper Md, Mph 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.

Medicare Billing Reassignment

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

University Of Utah Adult Services
0.2 mi
Sports Medicine
555 FOOTHILL DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1164826665 (801) 587-6336

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84148 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Rupper's NPI number?

The NPI number for Randall Rupper is 1457398703. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Randall Rupper located?

Randall Rupper practices at Grecc (182) Bldg. 2, Vamc 500 Foothill Drive, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Randall Rupper's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Randall Rupper enrolled in Medicare?

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

Which organization bills Medicare for Randall Rupper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Rupper reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). 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 Rupper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randall Rupper accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Randall Rupper 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 Randall Rupper was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.