DAVID GORDON DRAKE MD
NPI 1528046612
Radiology - Diagnostic Radiology in Roseville, MN

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
88.38/100
CMS Quality Rating
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113(651) 292-2000(651) 292-2204 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Gordon Drake Md NPPES

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

DAVID GORDON DRAKE MD (NPI 1528046612) is an individual diagnostic radiology provider in Roseville, Minnesota, licensed in Minnesota (30429) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Gillette Childrens Specialty Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1528046612
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDAVID GORDON DRAKECredential: MD
Location Address2355 HIGHWAY 36 W STE 100Roseville, MN 55113-3905
Mailing Address2355 Highway 36 W Ste 100Roseville, MN 55113-3905 · (651) 292-2000 · Fax (651) 292-2204
Fax(651) 292-2204
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1982
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJuly 12, 2021
NPPES CertifiedJuly 12, 2021
✔ NPI 1528046612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MN · 30429
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2355 HIGHWAY 36 W STE 100, Roseville, MN 55113

Secondary Practice Location 1

Location 1166 4th St ESaint Paul, MN 55101-1421 · Phone (651) 292-2043 · Fax (651) 292-2204

Other Identifiers 1

Medicaid199387900MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Gordon Drake 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 ID7517871288
PECOS Enrollment IDI20080620000617, I20110721000644
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 Reassignments

26

Medicare enrollment records show David Drake reassigns Medicare billing to 26 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
2355 HWY 36 W., STE. 100
Roseville, MN 55113
  • Reassigned Medicare billing, California, Minnesota and Wisconsin enrollments
  • 5 clinicians in this Medicare group
Radiology
2355 HWY 36 W., STE. 100
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 219 clinicians in this Medicare group
Family Medicine
400 STINSON BLVD, PROVIDER ENROLLMENT
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Physical Therapy
2600 39TH AVE NE, STE 220
Minneapolis, MN 55421
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Sleep Disorder Diagnostic
1010 BANDANA BLVD W, STE 236
St Paul, MN 55108
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Diagnostic Radiology
250 THOMPSON ST
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 218 clinicians in this Medicare group

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

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.

X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Gillette Childrens Specialty Hospital

Childrens · Saint Paul, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number243300
Location200 University Avenue EastSaint Paul, MN 55106 · Ramsey County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

88.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.55
Improvement Activities40
Cost66.26

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.

Nurse Practitioner
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Physician Assistant
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113

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 David Drake's NPI number?

The NPI number for David Drake is 1528046612. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is David Drake located?

David Drake practices at 2355 Highway 36 W Ste 100, Roseville, MN 55113. The listed phone number is (651) 292-2000.

What is David Drake's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Drake enrolled in Medicare?

Yes. David Drake 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.

Which organizations bill Medicare for David Drake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Drake reassigns Medicare benefits to 26 organizations: Midwest Radiology, PA (Roseville, MN), Suburban Imaging, LLC (Roseville, MN), Fairview Clinics (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN) and 21 more organizations, listed in the Medicare section above. Each 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 David Drake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Drake accept?

Health plans from AmeriHealth Caritas Next, Avera Health Plans, Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Taro Health list David Drake 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 David Drake affiliated with any hospitals?

According to CMS data, David Drake is affiliated with Gillette Childrens Specialty Hospital.

When was this NPI record last updated?

The NPPES record for David Drake was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.