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RANDY OPPOLD P.A.
NPI 1770525487
Physician Assistant in Sioux Falls, SD

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
6215 SOUTH CLIFF AVENUE, SIOUX FALLS, SD 57108(605) 322-4130(605) 322-4131 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy Oppold P.a. NPPES

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

RANDY OPPOLD P.A. (NPI 1770525487) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (0620) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1770525487
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRANDY OPPOLDCredential: P.A.
Location Address6215 SOUTH CLIFF AVENUESioux Falls, SD 57108-8589
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900 · Fax (605) 322-4910
Phone(605) 322-4130
Fax(605) 322-4131
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 10, 2006
Last NPPES UpdateMay 9, 2016
✔ NPI 1770525487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 0620
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6215 SOUTH CLIFF AVENUE, Sioux Falls, SD 57108
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Other Identifiers 1

Other0620SD · Pa License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Randy Oppold P.a. 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 ID941212336
PECOS Enrollment IDI20060629000378
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services39 patients
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.
17 services16 patients
Breast reduction 19318
Breast reduction is a surgical procedure that reduces the size of your chest area to alleviate discomfort or achieve a desired appearance. It involves removing excess tissue and reshaping the remaining area. It can help with issues like back pain, skin irritation, and posture problems.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 4

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

MARK SHASHIKANT M.D.
Surgery (Plastic and Reconstructive Surgery)
6215 SOUTH CLIFF AVENUE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-4130
AVERA MCKENNAN
Family Medicine
6215 SOUTH CLIFF AVENUE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-3300
DR. ASHLEY J VANDYKE D.O.
Family Medicine
6215 SOUTH CLIFF AVENUE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-3300
MARK D LIST M.D.
Family Medicine
6215 SOUTH CLIFF AVENUE
SIOUX FALLS, SD 57108
Lincoln County (605) 322-3300

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 Oppold's NPI number?

The NPI number for Randy Oppold is 1770525487. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Randy Oppold located?

Randy Oppold practices at 6215 South Cliff Avenue, Sioux Falls, SD 57108. The listed phone number is (605) 322-4130.

What is Randy Oppold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Randy Oppold enrolled in Medicare?

Yes. Randy Oppold 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 Randy Oppold accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Randy Oppold 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 Randy Oppold affiliated with any hospitals?

According to CMS data, Randy Oppold is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Randy Oppold was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.