DR. RANDY GORDON RAETZ DDS
NPI 1811990807
Dentist - General Practice in Rochester, NY

Q: What is Randy Raetz's NPI number?

The NPI number for Randy Raetz is 1811990807. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Randy Raetz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Randy Raetz was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 24, 2005PECOS Enrolled

2273 S CLINTON AVE, ROCHESTER, NY 14618(585) 473-1550(585) 473-1552 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Randy Gordon Raetz Dds NPPES

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

DR. RANDY GORDON RAETZ DDS (NPI 1811990807) is an individual general practice provider in Rochester, New York, licensed in New York (045887) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811990807

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RANDY GORDON RAETZCredential: DDS

Location Address2273 S CLINTON AVERochester, NY 14618-2662

Mailing Address2273 S Clinton AveRochester, NY 14618-2662 · (585) 473-1550 · Fax (585) 473-1552

Phone(585) 473-1550

Fax(585) 473-1552

Sole ProprietorYes

Enumeration DateMay 24, 2005

Last NPPES UpdateSeptember 2, 2011

✔ NPI 1811990807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 045887

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2273 S CLINTON AVE, Rochester, NY 14618

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Randy Gordon Raetz Dds 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 14618 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

DR. VICTORIA FRANCES KORTH MD

Psychiatry & Neurology (Psychiatry)

2273 S CLINTON AVE
ROCHESTER, NY 14618

Monroe County (585) 473-8950

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 Raetz's NPI number?

The NPI number for Randy Raetz is 1811990807. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Randy Raetz located?

Randy Raetz practices at 2273 S Clinton Ave, Rochester, NY 14618. The listed phone number is (585) 473-1550.

What is Randy Raetz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randy Raetz enrolled in Medicare?

Yes. Randy Raetz is registered in the Medicare PECOS enrollment system.

What insurance does Randy Raetz accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Randy Raetz 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 Raetz was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.