RANDAL R TRECHA M.D.
NPI 1013900695
Orthopaedic Surgery in Columbia, MO
NPI Status: Active since August 29, 2005
Contact Information
1 S KEENE ST
COLUMBIA, MO
ZIP 65201
Phone: (573) 443-2402
Fax: (573) 443-0574
- Individual
- Male
- Years of Experience 44
- Orthopaedic Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About RANDAL TRECHA
This page provides the complete NPI Profile along with additional information for Randal Trecha, a provider established in Columbia, Missouri with a medical specialization in Orthopaedic Surgery and more than 44 years of experience. He graduated from University Of Michigan Medical School in 1982. The healthcare provider is registered in the NPI registry with number 1013900695 assigned on August 2005. The practitioner's primary taxonomy code is 207X00000X with license number R3J73 (MO). The provider is registered as an individual and his NPI record was last updated March 2025.
- NPI
- 1013900695
- Provider Name
- RANDAL R TRECHA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 S KEENE ST COLUMBIA, MO 65201
- Location Phone
- (573) 443-2402
- Location Fax
- (573) 443-0574
- Mailing Address
- 1 S KEENE ST COLUMBIA, MO 65201
- Mailing Phone
- (573) 443-2402
- Mailing Fax
- (573) 443-0574
- Medical School Name
- UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
- Graduation Year
- 1982
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-29-2005
- Last Update Date
- 03-17-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R3J73
- License State
- MO
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | R3J73 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202605101 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
Randal Trecha is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Randal Trecha is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7315035862
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100617000703
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.41 for a new patient copayment and $16.42 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 65201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.64
- Minimum New Patient Price $52.28
- Maximum New Patient Price $161.24
- Average New Patient Copayment $20.41
- Minimum New Patient Copayment $13.07
- Maximum New Patient Copayment $40.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $65.71
- Minimum Established Patient Price $16.3
- Maximum Established Patient Price $131.05
- Average Established Patient Copayment $16.42
- Minimum Established Patient Copayment $4.07
- Maximum Established Patient Copayment $32.76
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 30% | 57 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Collection and use of patient experience and satisfaction data on access | Yes | N/A |
| Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs. | ||
| Documentation of Current Medications in the Medical Record | 76% | 3320 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 62% | 1216 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Medication Reconciliation | 97% | 3624 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 97% | 1487 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 97% | 1459 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide Patient Access | 7% | 1487 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Secure Messaging | 2% | 1487 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Send a Summary of Care | 2% | 257 |
| For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 679 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 9 | 0 | 0 | 6 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 18 | 0 | 0 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 1 + 8 + 0 + 0 + 6 + 1 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1013900695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689673592 | DAVID H NEIGHBORS P.A. Individual | Physician Assistant | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1336140946 | DENNIS L ABERNATHIE M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1154322766 | PETER K BUCHERT M.D. Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1912908559 | RONALD D CARTER M.D. Individual | Orthopaedic Surgery | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1588657167 | THOMAS R HIGHLAND M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1205829884 | JAMES F ECKENRODE M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1659364230 | ROBERT W GAINES JR. M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1174516629 | JEFFREY W PARKER M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1275526865 | MARK A ADAMS M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1184617771 | JENNIFER L.K. CLARK M.D. Individual | Physical Medicine & Rehabilitation | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1972596427 | STANLEY P HUMPHREYS PA-C Individual | Physician Assistant | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1881687333 | JEFFREY K EARLY PA-C Individual | Physician Assistant | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1871586321 | ANDREW L JAMES APRN-BC Individual | Clinical Nurse Specialist (Medical-Surgical) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1295728830 | WILLIAM WILSON BECKETT M.D. Individual | Orthopaedic Surgery | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1104819747 | JOHN HAVEY M.D. Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1922091560 | MARK F WILDMAN PA-C Individual | Physician Assistant | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1831182476 | WILLIAM A BOCKOVEN PA-C Individual | Physician Assistant | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1508859141 | BENJAMIN T HOLT M.D. Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1417940974 | DONNA L SMITH APRN Individual | Clinical Nurse Specialist (Medical-Surgical) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
| 1154314623 | RAYMOND S ERICKSON APRN-BC Individual | Clinical Nurse Specialist (Medical-Surgical) | 1 S KEENE ST COLUMBIA, MO 65201 (573) 443-2402 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013900695, enumerated in the NPI registry as an "individual" on August 29, 2005
The provider is located at 1 S Keene St Columbia, Mo 65201 and the phone number is (573) 443-2402
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider has more than 44 years of experience. He graduated from University Of Michigan Medical School in 1982.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.64 with an average copayment of $20.41 for new patient appointments. Established patients should expect a typical charge of $65.71 and an average copayment of 16.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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