RANDALL JASON DAVAULT M.D.
NPI 1457491904
Surgery in Durant, OK

Q: What is Randall Davault's NPI number?

The NPI number for Randall Davault is 1457491904. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Randall Davault's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Davault was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment

1706 DELIVERY LN, DURANT, OK 74701(580) 924-0110(580) 920-9976 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Randall Jason Davault M.d. NPPES

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

RANDALL JASON DAVAULT M.D. (NPI 1457491904) is an individual surgery provider in Durant, Oklahoma, licensed in Oklahoma (23575) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of University Of Oklahoma College Of Medicine (2003).

NPPES Registry Identity

NPI1457491904

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameRANDALL JASON DAVAULTCredential: M.D.

Location Address1706 DELIVERY LNDurant, OK 74701-2292

Mailing Address1706 Delivery LnDurant, OK 74701-2292 · (580) 924-0110 · Fax (580) 920-9976

Phone(580) 924-0110

Fax(580) 920-9976

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2003

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJuly 8, 2015

✔ NPI 1457491904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OK · 23575

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1706 DELIVERY LN, Durant, OK 74701

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Other Identifiers 1

Medicare PINOKB5204OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Randall Jason Davault M.d. 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 ID9739257395

PECOS Enrollment IDI20081009000060

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 4

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

44 services42 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.

39 services39 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.

25 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Alliancehealth Durant

Acute Care Hospitals · Durant, OK

1/5 CMS rating

OwnershipProprietary

CMS Certification Number370014

Location1800 University BoulevardDurant, OK 74702 · Bryan County

Emergency services Birthing friendly

Choctaw Memorial Hospital

Acute Care Hospitals · Hugo, OK

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370100

Location1405 East Kirk RoadHugo, OK 74743 · Choctaw County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74701 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

Other Providers at the Same Location NPPES 3

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

KINION WHITTINGTON DO

Obstetrics & Gynecology

1706 DELIVERY LN
DURANT, OK 74701

Bryan County (580) 920-2122

MRS. SHYANNE ROSELYNN SHIPP RN, IBCLC

Registered Nurse (Lactation Consultant)

1706 DELIVERY LN
DURANT, OK 74701

Bryan County (580) 745-5228

OSU CENTER FOR HEALTH SCIENCES

Clinic/Center (Medical Specialty)

1706 DELIVERY LN
DURANT, OK 74701

Bryan County (918) 561-8306

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 Davault's NPI number?

The NPI number for Randall Davault is 1457491904. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Randall Davault located?

Randall Davault practices at 1706 Delivery Ln, Durant, OK 74701. The listed phone number is (580) 924-0110.

What is Randall Davault's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Randall Davault enrolled in Medicare?

Yes. Randall Davault 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 Randall Davault accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Randall Davault 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 Davault affiliated with any hospitals?

According to CMS data, Randall Davault is affiliated with Alliancehealth Durant and Choctaw Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Randall Davault was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.