RANDALL J ROUSE MD
NPI 1467460055
Family Medicine in Cambridge, MN

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
701 DELLWOOD ST S, CAMBRIDGE, MN 55008(763) 689-8700(763) 689-7941 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 31, 2023, Mar 31, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Randall J Rouse Md NPPES

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

RANDALL J ROUSE MD (NPI 1467460055) is an individual family medicine provider in Cambridge, Minnesota, licensed in Minnesota (35813) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of Oral Roberts University School Of Medicine (1986).

NPPES Registry Identity

NPI1467460055
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDALL J ROUSECredential: MD
Location Address701 DELLWOOD ST SCambridge, MN 55008-1920
Mailing Address2925 Chicago AvenueMinneapolis, MN 55407-1321 · (612) 262-5000
Fax(763) 689-7941
Sole ProprietorNo
Medical School CMSOral Roberts University School Of MedicineGraduated 1986
Enumeration DateAugust 3, 2006
Last NPPES UpdateMay 31, 20234 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1467460055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 35813
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35813 (MN)
701 DELLWOOD ST S, Cambridge, MN 55008

Other Identifiers 1

Medicaid716870500MN

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

Randall J Rouse Md 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 ID7517000474
PECOS Enrollment IDI20100201000755
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services76 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55008 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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
2 suppliers51 claims51 services$2.45 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 20

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

Counselor (Professional)
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Family Medicine
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Rehabilitation, Substance Use Disorder Unit
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Counselor (Addiction (Substance Use Disorder))
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Physician Assistant
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Family Medicine
701 DELLWOOD ST S, CMC
CAMBRIDGE, MN 55008
Nurse Practitioner (Family)
701 DELLWOOD ST S
CAMBRIDGE, MN 55008
Counselor (Addiction (Substance Use Disorder))
701 DELLWOOD ST S
CAMBRIDGE, MN 55008

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 Rouse's NPI number?

The NPI number for Randall Rouse is 1467460055. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Randall Rouse located?

Randall Rouse practices at 701 Dellwood St S, Cambridge, MN 55008. The listed phone number is (763) 689-8700.

What is Randall Rouse's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Randall Rouse enrolled in Medicare?

Yes. Randall Rouse 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 Rouse accept?

Health plans from Medica list Randall Rouse 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 Rouse affiliated with any hospitals?

According to CMS data, Randall Rouse is affiliated with Cambridge Medical Center.

When was this NPI record last updated?

The NPPES record for Randall Rouse was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.