RANDALL J. BOLAR M.D.
NPI 1558323246
Surgery in Detroit Lakes, MN

Q: What is Randall Bolar's NPI number?

The NPI number for Randall Bolar is 1558323246. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Randall Bolar'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 Bolar was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 06, 2006PECOS Enrolled

1027 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-5611(218) 847-0881 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Randall J. Bolar M.d. NPPES

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

RANDALL J. BOLAR M.D. (NPI 1558323246) is an individual surgery provider in Detroit Lakes, Minnesota, licensed in Minnesota (36945) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558323246

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameRANDALL J. BOLARCredential: M.D.

Location Address1027 WASHINGTON AVEDetroit Lakes, MN 56501-3409

Mailing Address1027 Washington AveDetroit Lakes, MN 56501-3409 · (218) 847-5611 · Fax (218) 847-0881

Phone(218) 847-5611

Fax(218) 847-0881

Sole ProprietorNo

Enumeration DateApril 6, 2006

Last NPPES UpdateDecember 23, 2015

✔ NPI 1558323246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in MN · 36945✔ Licensed in TN · 34949

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.

1027 WASHINGTON AVE, Detroit Lakes, MN 56501

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Other Identifiers 13

Other10802394Caqh

Other000000069481KY · Anthem Bc

Medicaid64357130KY

Medicaid1515147TN

Medicare PINH400122469MN

Other4221186TN · Bcbs

Other01281517TN · Amerigroup

Medicaid3338849TN

Medicare PIN33388491TN

Other7774037KY · Aetna

Other203500913011TN · Tricare

OtherTN0125TN · Americhoice

Medicaid1558323246MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall J. Bolar M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56501 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.

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.

MELISSA M HOFFMAN

Occupational Therapist