Individual provider Active NPI

Randall Frederick Dryer, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Austin, TX
National Provider Identifier
1912904053
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G4110 Issued in TX
Practice address
3003 Bee Caves Rd Ste 202
Austin, TX 78746-5550
Phone
(512) 795-2225
Fax
(512) 795-0701
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G4110 TX Primary
Family Medicine Physician 207Q00000X G4110 TX

Addresses

Primary practice location

3003 Bee Caves Rd Ste 202
Austin, TX 78746-5550

Mailing address

3003 Bee Caves Rd Ste 202
Austin, TX 78746-5550
Phone (512) 795-2225

Other identifiers 2

IdentifierTypeStateIssuer
113904002MedicaidTX
200027195OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000537 TX Practitioner - Orthopedic Surgery 0547321382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Spine Institute, LLPGroup PAC ID 8921169764, 2 clinicians

Practice addresses (Care Compare)

3003 Bee Caves Rd
Suite 202
Austin, TX 78746-5550
Phone (512) 795-2225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
53 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
76.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion72
Laminectomy or laminotomy (partial removal of spine bones)26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G4110TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Arise Medical Group CurrentSince Aug 1, 2022 Accepting new patients

Locations

3003 Bee Caves Rd
Ste 200
Austin, TX 78746
Phone (512) 410-0767

3003 Bee Caves Rd
Ste 202
Austin, TX 78746
Phone (512) 371-6398

3003 Bee Caves Rd
Austin, TX 78746
Phone (512) 314-3800

3003 Bee Caves Rd
Ste 201
Austin, TX 78746
Phone (512) 314-3910

Interoperability endpoints

  • Direct secure messaging: randall_dryer_-_md@yourcarecommunity.org
  • Direct secure messaging: randall.dryer.1@16734.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1912904053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 BEE CAVES RD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465550",
            "telephone_number": "512-795-2225",
            "fax_number": "512-795-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 BEE CAVES RD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465550",
            "telephone_number": "512-795-2225",
            "fax_number": "512-795-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYER",
        "first_name": "RANDALL",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "G4110",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G4110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113904002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200027195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.