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DR. RANDY R NOLF D.D.S.
NPI 1629298484
Dentist - Periodontics in Stroudsburg, PA

Active since April 26, 2007Opted out of Medicare · through Apr 16, 2027
106 SKINNER HILL RD, STROUDSBURG, PA 18360(570) 420-1500(570) 420-1500 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 30, 2026, Jan 11, 2016 (2 updates tracked since 2016).

About Dr. Randy R Nolf D.d.s. NPPES

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

DR. RANDY R NOLF D.D.S. (NPI 1629298484) is an individual periodontics provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (DS021029L) and active in the NPI registry since April 2007. He has opted out of Medicare through April 16, 2027 and remains eligible to order and refer and maintains a secondary practice location in Apollo Beach.

NPPES Registry Identity

NPI1629298484
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. RANDY R NOLFCredential: D.D.S.
Location Address106 SKINNER HILL RDStroudsburg, PA 18360-7505
Mailing Address1521 8th Ave, Suite 101Bethlehem, PA 18018-1893 · (610) 865-8077 · Fax (610) 865-8112
Phone(570) 420-1500
Fax(570) 420-1500
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1629298484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in PA · DS021029L
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
106 SKINNER HILL RD, Stroudsburg, PA 18360
Open in Google Maps ↗

Secondary Practice Location 1

Location 1521 Winterside DrApollo Beach, FL 33572-3425 · Phone (919) 912-2062 · Fax (919) 912-2062

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Randy R Nolf D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2021 through April 16, 2027.

Opt-Out Effective DateApril 16, 2021
Opt-Out In Effect ThroughApril 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDY NOLF PC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
106 SKINNER HILL RD
STROUDSBURG, PA 18360
Monroe County (570) 420-1500

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 Nolf's NPI number?

The NPI number for Randy Nolf is 1629298484. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Randy Nolf located?

Randy Nolf practices at 106 Skinner Hill Rd, Stroudsburg, PA 18360. The listed phone number is (570) 420-1500.

What is Randy Nolf's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Randy Nolf enrolled in Medicare?

No. Randy Nolf has opted out of Medicare through April 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Randy Nolf accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and HRI Dental & Vision and 4 other insurers list Randy Nolf 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 Randy Nolf was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.