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Dr. Randal Paul Bast, MD

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Specializes in: General Surgery

University of North Carolina at Chapel Hill School of Medicine (1989 - 1993)

Professional interests include: dialysis access procedures

1031 Morganton Boulevard Sw Suite C
Lenoir, NC 28645

(828) 757-8240

Dr. Randal Paul Bast, MD is a general surgeon in Lenoir, NC specializing in general surgery. He graduated from University of North Carolina at Chapel Hill School of Medicine in 1993 and has 33 years of experience. Dr. Randal Paul Bast, MD is affiliated with UNC Health and UNC Health Caldwell.

Office Locations

UNC Health Caldwell

1031 Morganton Boulevard Sw Suite C
Lenoir, NC 28645

(828) 757-8240

(828) 757-8241

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Noteworthy Medicare Patient Procedures Performed by Dr. Randal Paul Bast, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

catheterization

hemodialysis access surgery

tunneled central line placement

tunneled central line removal

In 2023, Dr. Randal Paul Bast, MD performed more catheterization, hemodialysis access surgery, tunneled central line placement, and tunneled central line removal procedures for Medicare patients than 95% of providers in related specialties within North Carolina.

Top 10%

By Volume:

AV fistula surgery

By Affordability:

device removal

tunneled central line removal

In 2023, among providers in related specialties within North Carolina, Dr. Randal Paul Bast, MD performed more AV fistula surgery procedures for Medicare patients than 90% of them and he also had a list price for device removal, and tunneled central line removal that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

tunneled peritoneal catheter insertion

In 2012, Dr. Randal Paul Bast, MD performed more tunneled peritoneal catheter insertion procedures for Medicare patients than 75% of providers in related specialties within North Carolina.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2012 were vascular procedures, dialysis access procedures, X-rays and angioplasty.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	93
angioplasty	321
catheterization	81
device removal	42
diagnostic procedures	23
dialysis access procedures	557
doctor visit	521
gastrointestinal procedures	23
minimally invasive procedures	45
open surgery	39
removal of lesion (e.g. growth)	23
thrombectomy (blood clot removal)	61
ultrasound (sonogram)	13
vascular procedures	557
X-rays	338

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2013 were vascular procedures, dialysis access procedures, X-rays and angioplasty.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	69
angioplasty	317
catheterization	44
device removal	45
dialysis access procedures	478
doctor visit	426
hospital care	20
inpatient care	20
open surgery	31
thrombectomy (blood clot removal)	31
vascular procedures	478
X-rays	325

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	188
Female	154

**Ethnicity**
Non-Hispanic White	253
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	125
From 75 to 84	56
85 and over	13
Less than 65	148

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2013

Hypertension	75
High Cholesterol	59
Stroke	7
Ischemic Heart Disease	53
Depression	27
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	0
Atrial Fibrilation	15
Heart Failure	46
Chronic Obstructive Pulmonary Disease	27
Diabetes	67
Dementia	11
Cancer	6

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2014 were vascular procedures, dialysis access procedures, X-rays and angioplasty.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	78
angioplasty	267
catheterization	49
device removal	40
dialysis access procedures	483
doctor visit	364
hospital care	18
inpatient care	18
open surgery	33
thrombectomy (blood clot removal)	33
vascular procedures	483
X-rays	322

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	171
Female	140

**Ethnicity**
Non-Hispanic White	213
Black	86
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	93
From 75 to 84	0
85 and over	0
Less than 65	150

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2014

Hypertension	75
High Cholesterol	56
Stroke	7
Ischemic Heart Disease	49
Depression	24
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	0
Atrial Fibrilation	15
Heart Failure	41
Chronic Obstructive Pulmonary Disease	24
Diabetes	63
Dementia	11
Cancer	7

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2015 were vascular procedures, dialysis access procedures, X-rays and angioplasty.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	88
angioplasty	349
catheterization	91
device removal	51
dialysis access procedures	632
doctor visit	583
hospital care	74
inpatient care	74
minimally invasive procedures	29
open surgery	35
stent placement (stenting)	15
thrombectomy (blood clot removal)	49
ultrasound (sonogram)	24
vascular procedures	687
X-rays	409

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	500
Female	392

**Ethnicity**
Non-Hispanic White	614
Black	224
Hispanic	0
Asian	26
Other	0
Native American	0

**Age**
From 65 to 74	262
From 75 to 84	172
85 and over	44
Less than 65	414

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2015

Hypertension	75
High Cholesterol	59
Stroke	7
Ischemic Heart Disease	47
Depression	28
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	3
Atrial Fibrilation	17
Heart Failure	45
Chronic Obstructive Pulmonary Disease	26
Diabetes	63
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2016 were vascular procedures, dialysis access procedures, X-rays and angioplasty.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	77
angioplasty	414
catheterization	75
device removal	75
dialysis access procedures	679
doctor visit	699
hospital care	108
inpatient care	108
minimally invasive procedures	27
open surgery	45
stent placement (stenting)	14
thrombectomy (blood clot removal)	46
vascular procedures	734
X-rays	466

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	271
Female	208

**Ethnicity**
Non-Hispanic White	336
Black	107
Hispanic	0
Asian	16
Other	0
Native American	0

**Age**
From 65 to 74	134
From 75 to 84	96
85 and over	22
Less than 65	227

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2016

Hypertension	75
High Cholesterol	59
Stroke	8
Ischemic Heart Disease	49
Depression	28
Chronic Kidney Disease	75
Asthma	29
Osteoperosis	4
Atrial Fibrilation	14
Heart Failure	48
Chronic Obstructive Pulmonary Disease	29
Diabetes	62
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2017 were vascular procedures, dialysis access procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	67
catheterization	92
device removal	59
dialysis access procedures	186
doctor visit	788
hospital care	124
inpatient care	124
open surgery	30
thrombectomy (blood clot removal)	30
vascular procedures	221

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	285
Female	246

**Ethnicity**
Non-Hispanic White	391
Black	111
Hispanic	14
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	165
From 75 to 84	100
85 and over	29
Less than 65	237

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2017

Hypertension	75
High Cholesterol	53
Stroke	7
Ischemic Heart Disease	53
Depression	29
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	5
Atrial Fibrilation	14
Heart Failure	53
Chronic Obstructive Pulmonary Disease	30
Diabetes	62
Dementia	15
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2018 were vascular procedures, dialysis access procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	95
catheterization	102
device removal	59
dialysis access procedures	205
doctor visit	624
hospital care	145
inpatient care	145
open surgery	30
thrombectomy (blood clot removal)	30
vascular procedures	252

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	293
Female	236

**Ethnicity**
Non-Hispanic White	387
Black	108
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	175
From 75 to 84	110
85 and over	25
Less than 65	219

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2018

Hypertension	75
High Cholesterol	66
Stroke	6
Ischemic Heart Disease	56
Depression	34
Chronic Kidney Disease	75
Asthma	6
Osteoperosis	5
Atrial Fibrilation	17
Heart Failure	53
Chronic Obstructive Pulmonary Disease	30
Diabetes	66
Dementia	16
Cancer	11

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2019 were vascular procedures, dialysis access procedures, catheterization and anastomosis.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	90
catheterization	100
device removal	78
dialysis access procedures	217
doctor visit	575
hospital care	47
inpatient care	47
open surgery	55
thrombectomy (blood clot removal)	55
vascular procedures	274

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	272
Female	219

**Ethnicity**
Non-Hispanic White	344
Black	111
Hispanic	0
Asian	18
Other	0
Native American	0

**Age**
From 65 to 74	149
From 75 to 84	102
85 and over	24
Less than 65	216

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2019

Hypertension	75
High Cholesterol	68
Stroke	8
Ischemic Heart Disease	53
Depression	34
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	5
Atrial Fibrilation	14
Heart Failure	59
Chronic Obstructive Pulmonary Disease	30
Diabetes	66
Dementia	14
Cancer	8

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2020 were vascular procedures, dialysis access procedures, catheterization and anastomosis.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	89
catheterization	132
device removal	72
dialysis access procedures	215
doctor visit	328
hospital care	42
inpatient care	42
open surgery	47
thrombectomy (blood clot removal)	47
vascular procedures	278

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	241
Female	214

**Ethnicity**
Non-Hispanic White	315
Black	104
Hispanic	0
Asian	17
Other	0
Native American	0

**Age**
From 65 to 74	131
From 75 to 84	90
85 and over	24
Less than 65	210

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2020

Hypertension	75
High Cholesterol	68
Stroke	9
Ischemic Heart Disease	55
Depression	36
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	6
Atrial Fibrilation	16
Heart Failure	65
Chronic Obstructive Pulmonary Disease	30
Diabetes	63
Dementia	16
Cancer	12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2021 were vascular procedures, dialysis access procedures, catheterization and device removal.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	56
catheterization	87
device removal	63
dialysis access procedures	142
doctor visit	215
open surgery	37
thrombectomy (blood clot removal)	37
vascular procedures	180

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	225
Female	188

**Ethnicity**
Non-Hispanic White	286
Black	97
Hispanic	0
Asian	14
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	82
85 and over	21
Less than 65	183

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2021

Hypertension	75
High Cholesterol	66
Stroke	8
Ischemic Heart Disease	53
Depression	36
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	5
Atrial Fibrilation	18
Heart Failure	64
Chronic Obstructive Pulmonary Disease	27
Diabetes	64
Dementia	18
Cancer	12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC during 2022 were vascular procedures, dialysis access procedures, catheterization and anastomosis.

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

anastomosis	55
catheterization	73
device removal	39
dialysis access procedures	87
doctor visit	49
vascular procedures	138

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	176
Female	143

**Ethnicity**
Non-Hispanic White	229
Black	69
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	95
From 75 to 84	75
85 and over	21
Less than 65	128

Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	49
Depression	34
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	7
Atrial Fibrilation	33
Heart Failure	54
Chronic Obstructive Pulmonary Disease	32
Diabetes	66
Dementia	11
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Randal Paul Bast, MD for Medicare patients.

The highest averages for the top procedures that Dr. Randal Paul Bast, MD treated as a general surgeon in Lenoir, NC were vascular procedures, X-rays, dialysis access procedures and angioplasty.

anastomosis	77
angioplasty	333
catheterization	84
device removal	56
diagnostic procedures	23
dialysis access procedures	352
doctor visit	470
gastrointestinal procedures	23
hospital care	72
inpatient care	72
minimally invasive procedures	33
open surgery	38
removal of lesion (e.g. growth)	23
stent placement (stenting)	14
thrombectomy (blood clot removal)	41
ultrasound (sonogram)	18
vascular procedures	389
X-rays	372

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Randal Paul Bast, MD.

**Gender**
Male	238
Female	194

**Ethnicity**
Black / African American	92
Asian / Pacific Islander	8
Non-Hispanic White	306
Native American / Alaskan Native	0
Hispanic	1
Other	0

**Age**
75 to 84	80
85 and over	20
Less than 65	193
65 to 74	132

Average of Total of Conditions of Medicare patients treated by Dr. Randal Paul Bast, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Randal Paul Bast, MD treated were chronic kidney disease, hypertension, diabetes and high cholesterol.

Hypertension	68
High Cholesterol	57
Stroke	7
Ischemic Heart Disease	47
Depression	28
Chronic Kidney Disease	68
Asthma	10
Osteoporosis	3
Heart Failure	48
Chronic Obstructive Pulmonary Disease	25
Diabetes	58
Atrial Fibrillation	15
Dementia	12
Cancer	9

Education & Training

Dr. Randal Paul Bast, MD graduated from University of North Carolina at Chapel Hill School of Medicine in 1993. He completed residency at University of Kansas Affiliated Hospitals. He is certified by the Surgery, Board Certified and has a state license in North Carolina.

Medical School: University of North Carolina at Chapel Hill School of Medicine (1993)

Residency: University of Kansas Affiliated Hospitals (1998)

Board Certification: Surgery, Board Certified

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Randal Paul Bast, MD is associated with these hospitals and organizations:

UNC Health

UNC Health Caldwell

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Randal Paul Bast, MD appears to accept the following insurance providers: WellCare, Medicare Advantage, AmeriHealth, United Healthcare, Medicaid, Humana, Cigna, OptumHealth Behavioral Solutions (United Behavioral Health), CHAMPVA, Centene, Group Health Plan (GHP), MedCost PPO, North Carolina State Health Plan, Atlantic (Packaging) Corporation, Inc. (administered by Lucent Health), BCBSNC Blue Home with UNC Health Alliance (Blue Home with Novant Health is out of network), Contigo Health Plan (WakeMed employees only) (out-of-network beginning January 1, 2026), Aetna Premier Care Network Plus (APCN+) (Tier 2), DirectNet, BCBSNC Group Health Plans (except for Blue High Performance Network (BlueHPN)), Aetna Whole Health (Tier 2), Meritain Health, an Aetna Company, Longevity Health Plan I-SNP and Veterans Affairs Community Care Network.

Insurance Accepted by Provider includes:

According to our sources, Dr. Randal Paul Bast, MD accepts the following insurance providers:

WellCare

Medicare Advantage

AmeriHealth

United Healthcare

Medicaid

Humana

Cigna

OptumHealth Behavioral Solutions (United Behavioral Health)

CHAMPVA

Centene

Group Health Plan (GHP)

MedCost PPO

North Carolina State Health Plan

Atlantic (Packaging) Corporation, Inc. (administered by Lucent Health)

BCBSNC Blue Home with UNC Health Alliance (Blue Home with Novant Health is out of network)

Contigo Health Plan (WakeMed employees only) (out-of-network beginning January 1, 2026)

Aetna Premier Care Network Plus (APCN+) (Tier 2)

DirectNet

BCBSNC Group Health Plans (except for Blue High Performance Network (BlueHPN))

Aetna Whole Health (Tier 2)

Meritain Health, an Aetna Company

Longevity Health Plan I-SNP

Veterans Affairs Community Care Network

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General Payments

These charts describe general payments received by Dr. Randal Paul Bast, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Bard Peripheral Vascular, Inc.	$5,448 BPV-Lutonix $4,994	COVERA $39	Vascular $32	BPV-ClearVUE $28	VENOVO $20	Other $335
W. L. Gore & Associates, Inc.	$464 GORE VIABAHN Endoprosthesis with Heparin $267	PROPATEN Vascular Graft $104	Vascular Graft $71	VIABAHN Endoprosthesis with Heparin Bioactive Surface $21
Medtronic, Inc.	$232 Argyle $138	IN.PACT Admiral $80	Ellipsys $13
AngioDynamics, Inc.	$43 $43
FOREST PHARMACEUTICALS, INC.	$43 TEFLARO $43
Other	$224 Atherectomy Device $40	CT THROMBECTOMY SYSTEM KIT $30	ATHERECTOMY $23	Cardiovascular-Endovascular $18	Byfavo $17	Other $96

**Types of Payments**
Consulting Fee	$3,550
Food and Beverage	$1,459
Travel and Lodging	$1,444

Biography

Dr. Randal Bast is a specialist in general surgery. He graduated from the University of North Carolina at Chapel Hill School of Medicine and then he performed his residency at a hospital affiliated with the University of Kansas. Areas of expertise for Dr. Bast include dialysis access procedures. Dr. Bast accepts several insurance carriers, including Coventry, Group Health Plan (GHP), and CHAMPVA. He is affiliated with UNC Health. He has an open panel in Lenoir, NC according to UNC Health.