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RANDY RAY POOLE D.D.S.
NPI 1609883578
Dentist - General Practice in Iowa City, IA

Active since August 02, 2006PECOS Enrolled
15 N VAN BUREN ST, IOWA CITY, IA 52245(319) 337-2193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy Ray Poole D.d.s. NPPES

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

RANDY RAY POOLE D.D.S. (NPI 1609883578) is an individual general practice provider in Iowa City, Iowa, licensed in Iowa (7226) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609883578
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDY RAY POOLECredential: D.D.S.
Location Address15 N VAN BUREN STIowa City, IA 52245-2452
Mailing Address15 N Van Buren StIowa City, IA 52245-2452 · (319) 337-2193
Phone(319) 337-2193
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609883578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 7226
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.
15 N VAN BUREN ST, Iowa City, IA 52245
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy Ray Poole 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 52245 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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 Randy Poole's NPI number?

The NPI number for Randy Poole is 1609883578. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Randy Poole located?

Randy Poole practices at 15 N Van Buren St, Iowa City, IA 52245. The listed phone number is (319) 337-2193.

What is Randy Poole's specialty?

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

Is Randy Poole enrolled in Medicare?

Yes. Randy Poole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Poole was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.