Active NPI 1770525487 Individual Practitioner Male Practitioner

Randy Oppold , PA

Physician Assistant • Sioux Falls, SD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Randy Oppold, PA is a certified Physician Assistant practicing in Sioux Falls, SD. With approximately 20 years of clinical experience since completing medical education in 2006, Randy Oppold delivers high-quality medical care to the local community at 6215 SOUTH CLIFF AVENUE.

Randy Oppold is affiliated with Avera Mckennan and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, breast reduction, insertion of tissue expander in breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6215 South Cliff Avenue

Sioux Falls, SD 571088589

Telephone 6053224130

Fax 6053224131

Associated Practice Facility / Clinic

🏢 Avera Mckennan Facility NPI 1144635863

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sioux Falls, SD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +7.7 yrs vs City Avg

City Avg: 12.3 Yrs

State Avg: 16.3 Yrs

Regional Practice Density

248 Specialists

Practicing in Sioux Falls, SD (685 Statewide)

Telehealth Adoption Rate

7.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oppold (20 Years) 20 Yrs

Sioux Falls Specialty Average (12.3 Years) 12.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	39	$55.18	$28.20
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$88.48	$52.75
19318 Breast reduction	13	13	$209.56	$206.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$55.64	$28.77
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$88.66	$53.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	50	$55.86	$29.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$55.61	$29.88
19357 Insertion of tissue expander in breast	12	11	$254.20	$192.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$81.78	$43.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$45.02	$21.66
19318 Breast reduction	13	13	$152.09	$114.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$44.89	$21.28
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$73.78	$42.74
19318 Breast reduction	12	12	$122.17	$121.98
19366 Plastic surgery to reconstruct breast	12	12	$185.79	$185.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
19318 Breast reduction	16	16	$150.38	$94.88
19366 Plastic surgery to reconstruct breast	13	13	$185.21	$182.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$41.10	$31.37
19318 Breast reduction	19	19	$153.37	$97.46
19366 Plastic surgery to reconstruct breast	14	14	$186.96	$183.58

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License SD 0620

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pa License

0620 (SD)

Hospital & Practice Group Affiliations

Avera Mckennan

1417 S Cliff Ave, Sioux Falls, SD 571051009

Phone: 6053223666

Avera Mckennan

901 E Virgil Ave, Milbank, SD 572522124

Phone: 6054324538

Avera Mckennan

1325 S Cliff Ave, Sioux Falls, SD 571051007

Phone: 6053224878

Avera Mckennan

1325 S Cliff Ave, Sioux Falls, SD 571051007

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Mark Shashikant , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1053582270

Doctor of Medicine (M.D.)

Brooke Munk , CNP

Nurse Practitioner - Family

NPI 1184226953

Certified Nurse Practitioner

Dr. Laura Figura , MD

Surgery

NPI 1740490499

Doctor of Medicine (M.D.)

Dr. Barry Martin , MD

Plastic Surgery

NPI 1841258225

Doctor of Medicine (M.D.)

Dr. Jason Fowler , MD, PhD

Plastic Surgery

NPI 1851690697

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2016

Registered at 6215 SOUTH CLIFF AVENUE, SIOUX FALLS, SD 571088589 (Tel: 6053224130)

📍

Updated Business Mailing Address May 09, 2016

Registered at PO BOX 86430, SIOUX FALLS, SD 571186430 (Tel: 6053224900)

👤

Provider Name / Credentials Updated May 09, 2016

Recorded as RANDY OPPOLD, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2016

Physician Assistant (License #0620 in SD)

🟢

Initial NPI Registration & Enumeration June 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770525487

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2006

Last Update: May 09, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 86430

Sioux Falls, SD 571186430

Phone: 6053224900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.