RANDALL R DWENGER MD
NPI 1649291980
Psychiatry & Neurology - Psychiatry in Canaan, CT

Q: What is Randall Dwenger's NPI number?

The NPI number for Randall Dwenger is 1649291980. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Randall Dwenger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Randall Dwenger enrolled in Medicare?

No. Randall Dwenger has opted out of Medicare through September 12, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Randall Dwenger was last updated on June 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 22, 2006Opted out of Medicare · through Sep 12, 2026

187 S CANAAN RD, CANAAN, CT 06018(860) 824-1397(888) 690-2727 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Randall R Dwenger Md NPPES

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

RANDALL R DWENGER MD (NPI 1649291980) is an individual psychiatry provider in Canaan, Connecticut, licensed in New York (183297) and active in the NPI registry since July 2006. He has opted out of Medicare through September 12, 2026 and remains eligible to order and refer and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1649291980

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameRANDALL R DWENGERCredential: MD

Location Address187 S CANAAN RDCanaan, CT 06018-2544

Mailing Address30 Cedar Crest, Po Box 443Salisbury, CT 06068-0443 · (917) 513-7438 · Fax (888) 690-2727

Phone(860) 824-1397

Fax(888) 690-2727

Sole ProprietorNo

Enumeration DateJuly 22, 2006

Last NPPES UpdateJune 4, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1649291980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 183297

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

187 S CANAAN RD, Canaan, CT 06018

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Secondary Practice Location 1

Location 1423 E 23rd St, Room 2707New York, NY 10010-5011 · Phone (212) 686-7500 ext. 7598 · Fax (212) 951-3356

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Randall R Dwenger Md 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 September 12, 2018 through September 12, 2026.

Opt-Out Effective DateSeptember 12, 2018

Opt-Out In Effect ThroughSeptember 12, 2026Opt-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 06018 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

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

WHITNEY BALLIETT LADC

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