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RANDALL T HERMANN MD
NPI 1619034188
Internal Medicine in Ketchum, ID

Active since January 03, 2007PECOS Enrolled
208 SPRUCE ST ., KETCHUM, ID 83340(208) 726-9781(208) 726-1377 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall T Hermann Md NPPES

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

RANDALL T HERMANN MD (NPI 1619034188) is an individual internal medicine provider in Ketchum, Idaho, licensed in Idaho (M4140) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619034188
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRANDALL T HERMANNCredential: MD
Location Address208 SPRUCE ST .Ketchum, ID 83340
Mailing AddressPo Box 1204Ketchum, ID 83340-1204 · (208) 726-9781 · Fax (208) 726-1377
Phone(208) 726-9781
Fax(208) 726-1377
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1619034188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · M4140
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License M4140 (ID)
208 SPRUCE ST ., Ketchum, ID 83340
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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)

Randall T Hermann Md 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 83340 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 Randall Hermann's NPI number?

The NPI number for Randall Hermann is 1619034188. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Randall Hermann located?

Randall Hermann practices at 208 Spruce St ., Ketchum, ID 83340. The listed phone number is (208) 726-9781.

What is Randall Hermann's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Randall Hermann enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Randall Hermann was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.