RANDALL E BLOME MD
NPI 1861457384
Family Medicine in Grand Ronde, OR
About Randall E Blome Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL E BLOME MD (NPI 1861457384) is an individual family medicine provider in Grand Ronde, Oregon, licensed in Oregon (MD17595) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Willamette Valley Medical Center, and is a graduate of University Of Toledo College Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Randall E Blome 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.
Medicare Billing Reassignment
Medicare enrollment records show Randall Blome reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Ronde, OR 97347
- Reassigned Medicare billing, Oregon enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Willamette Valley Medical Center
Acute Care Hospitals · Mcminnville, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97347 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
GRAND RONDE, OR 97347
GRAND RONDE, OR 97347
GRAND RONDE, OR 97347
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 Randall Blome's NPI number?
The NPI number for Randall Blome is 1861457384. It was assigned to this individual provider in the NPPES registry on April 18, 2006.
Where is Randall Blome located?
Randall Blome practices at 9605 Grand Ronde Rd, Grand Ronde, OR 97347. The listed phone number is (503) 879-2002.
What is Randall Blome's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Randall Blome enrolled in Medicare?
Yes. Randall Blome 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.
Which organization bills Medicare for Randall Blome's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Blome reassigns Medicare benefits to Confederated Tribes Of The Grand Ronde Community Of Oregon (Grand Ronde, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Blome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Blome accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Randall Blome 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 Randall Blome affiliated with any hospitals?
According to CMS data, Randall Blome is affiliated with Willamette Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Randall Blome was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Randall E Blome, MD · NPI 1861457384
Family Medicine physician in Grand Ronde, Oregon. Individual provider, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1861457384 (Entity type: Individual)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD17595 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9605 GRAND RONDE RD, Grand Ronde, OR 97347-9712
- **Phone:** (503) 879-2002 · **Fax:** (503) 879-2015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Confederated Tribes Of The Grand Ronde Community Of Oregon (NPI 1174666358, Grand Ronde, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 1986
## Record status
- **NPPES last updated:** October 16, 2024
- **Other identifiers:** Other 0200572 (WA); Medicaid 034558 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1861457384) · Data from the CMS NPPES public registry.