Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RANDALL E BALLWEG D.D.S.
NPI 1609855303
Dentist - General Practice in Prairie Du Sac, WI

Active since January 11, 2006PECOS Enrolled
1250 PRAIRIE ST, PRAIRIE DU SAC, WI 53578(608) 643-8505(608) 643-8097 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall E Ballweg D.d.s. NPPES

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

RANDALL E BALLWEG D.D.S. (NPI 1609855303) is an individual general practice provider in Prairie Du Sac, Wisconsin, licensed in Wisconsin (5002051-015) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609855303
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDALL E BALLWEGCredential: D.D.S.
Location Address1250 PRAIRIE STPrairie Du Sac, WI 53578-2041
Mailing Address1250 Prairie StPrairie Du Sac, WI 53578-2041 · (608) 643-8505 · Fax (608) 643-8097
Fax(608) 643-8097
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1609855303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 5002051-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1250 PRAIRIE ST, Prairie Du Sac, WI 53578

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 (PECOS)

Randall E Ballweg D.d.s. 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 53578 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Dentist
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Dental Hygienist
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Dental Hygienist
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Dental Hygienist
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Dental Hygienist
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Dentist (General Practice)
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Dental Hygienist
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Dental Hygienist
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578

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 Ballweg's NPI number?

The NPI number for Randall Ballweg is 1609855303. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Randall Ballweg located?

Randall Ballweg practices at 1250 Prairie St, Prairie Du Sac, WI 53578. The listed phone number is (608) 643-8505.

What is Randall Ballweg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randall Ballweg enrolled in Medicare?

Yes. Randall Ballweg is registered in the Medicare PECOS enrollment system.

What insurance does Randall Ballweg accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Randall Ballweg 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.

When was this NPI record last updated?

The NPPES record for Randall Ballweg was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.