Randall Bolar, M.D.
NPI 1558323246 · Surgery Physician · Detroit Lakes, MN
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Bolar, M.D. is a Surgery Physician provider in Detroit Lakes, MN (NPI 1558323246).
Provider details
- NPI number
- 1558323246
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 34949 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 47 | 46 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 21 | 20 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2015-12-23
Frequently asked questions
- What is Randall Bolar's NPI number?
- Randall Bolar's National Provider Identifier (NPI) is 1558323246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Bolar's specialty?
- Randall Bolar is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Randall Bolar located?
- Randall Bolar's practice location on file with NPPES is 1027 Washington Ave, Detroit Lakes, MN 56501-3409.
- What is Randall Bolar's phone number?
- The practice phone number listed in the NPPES registry for Randall Bolar is (218) 847-5611.
- Does Randall Bolar accept Medicare?
- Randall Bolar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randall Bolar's NPI active?
- Yes — Randall Bolar's NPI (1558323246) is active in the NPPES registry as of the last update on 2015-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.