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J RANDALL RAUH MD
NPI 1649378530
Obstetrics & Gynecology in Miles City, MT

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
330 ROGER LN, SUITE 4, MILES CITY, MT 59301(406) 234-7660 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About J Randall Rauh Md NPPES

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

J RANDALL RAUH MD (NPI 1649378530) is an individual obstetrics & gynecology provider in Miles City, Montana, licensed in Montana (4606) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of University Of Oklahoma College Of Medicine (1973).

NPPES Registry Identity

NPI1649378530
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJ RANDALL RAUHCredential: MD
Location Address330 ROGER LN, SUITE 4Miles City, MT 59301-9239
Mailing Address330 Roger Ln, Suite 4Miles City, MT 59301-9239 · (406) 234-7660
Phone(406) 234-7660
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1973
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1649378530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MT · 4606
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
330 ROGER LN, Miles City, MT 59301
Open in Google Maps ↗

Other Identifiers 3

Other000097685MT · Bcbs Pin
Other0076993MT · Mdcd Pin
Other113957600WY · Mdcd Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

J Randall Rauh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638071913
PECOS Enrollment IDI20040611001279
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
233 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
218 services88 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
92 services11 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
85 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Fallon Medical Complex Hospital

Critical Access Hospitals · Baker, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271301
Location202 S 4th St WBaker, MT 59313 · Fallon County
Emergency services

Garfield County Health Center

Critical Access Hospitals · Jordan, MT
OwnershipGovernment - Local
CMS Certification Number271310
Location332 Leavitt AveJordan, MT 59337 · Garfield County
Emergency services

Glendive Medical Center

Critical Access Hospitals · Glendive, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271332
Location202 Prospect DrGlendive, MT 59330 · Dawson County
Emergency services

Holy Rosary Healthcare

Critical Access Hospitals · Miles City, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271347
Location2600 Wilson StMiles City, MT 59301 · Custer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59301 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims19 services$6.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$21.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers46 claims46 services$112.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 J Rauh's NPI number?

The NPI number for J Rauh is 1649378530. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is J Rauh located?

J Rauh practices at 330 Roger Ln Suite 4, Miles City, MT 59301. The listed phone number is (406) 234-7660.

What is J Rauh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is J Rauh enrolled in Medicare?

Yes. J Rauh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does J Rauh accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list J Rauh 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.

Is J Rauh affiliated with any hospitals?

According to CMS data, J Rauh is affiliated with Billings Clinic, Fallon Medical Complex Hospital, Garfield County Health Center, Glendive Medical Center and Holy Rosary Healthcare.

When was this NPI record last updated?

The NPPES record for J Rauh was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.