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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: August 09, 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
Phone(651) 292-2000
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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

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.

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.

CHERIE S. NIENOW RN, CNP
Nurse Practitioner
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
DR. AMANJIT SINGH BAADH M.D.
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-0000
DR. JONATHAN P WILLIAMS MD
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
PATRICK P SULLIVAN MD
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
TIFFANY J MELLANG
Physician Assistant
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
ANDREW S HARTIGAN MD
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
DR. ERIC HARTMAN M.D.
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000
DR. ANDREW BUNNEY M.D.
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 292-2000

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.

What insurance does David Drake accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota and Sanford Health Plan 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.