RANDOLPH B PEDDICORD D.O. - NPI 1841204971 - Family Medicine in Stuart, FL

Q: What is Randolph Peddicord's NPI number?

The NPI number for Randolph Peddicord is 1841204971. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Randolph Peddicord's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

On this page

About Randolph B Peddicord D.o. NPPES

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

RANDOLPH B PEDDICORD D.O. (NPI 1841204971) is an individual family medicine provider in Stuart, Florida, licensed in Florida (OS6696) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841204971

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRANDOLPH B PEDDICORDCredential: D.O.

Location Address1201 SE INDIAN STStuart, FL 34997-5688

Mailing Address1201 Se Indian StStuart, FL 34997-5688 · (772) 403-4500 · Fax (772) 403-4500

Phone(772) 403-4500

Fax(772) 403-4500

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateJanuary 27, 2011

✔ NPI 1841204971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS6696

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1201 SE INDIAN ST, Stuart, FL 34997

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified57163FL

Medicaid377624700FL

Medicare UPING08059FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randolph B Peddicord D.o. 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 34997 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

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 9

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

TREASURE COAST PALLIATIVE CARE, LLC

Specialist