RANDY MADDOX (M.D.) – Emergency Medicine Physician, NPI 1699881250

RANDY MADDOX (M.D.) is a healthcare provider. based in Benton, Arkansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. C8131 (AR). The NPI Number for RANDY MADDOX (M.D.) is 1699881250

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
RANDY MADDOX (M.D.)
NPI
1699881250
Phone
(501) 315-6500
Address
2909 MILITARY RD
Enumeration Date
23 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
5016868000
Graduation Year
1994 (32 years ago)
PAC ID
7012919095
Group Practice PAC ID
4082528955
Professional Enrollment ID
I20070203000152
Address ID
AR722057101LI4301XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

557 EMERGENCY MEDICINE in AR

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Provider Addresses for RANDY MADDOX (M.D.)

  • 2909, Military Road, Benton, Saline County, Arkansas, 72015, United States

    BENTON, AR 720152721

    Phone: (501) 315-6500

    Fax: (501) 315-0006

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070203000152IEmergency MedicineARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making222211$0
99284Emergency department visit with moderate level of medical decision making138131$0
99291Critical care, first 30-74 minutes103101$0
93308Ultrasound of heart, follow-up5958$0
99283Emergency department visit with low level of medical decision making4444$0
View full utilization report →

Insurance plans in this area (ZIP 72015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082528955View full group profile
NameSpecialtyState
N E U R O L O G YAR
-AR
Internal MedicineNY
Internal Medicine, NephrologyAR
-AR
-AR
Nurse PractitionerAR
P S Y C H I A T R YAR
-AR
-AR

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Frequently asked questions

What NPI should I save for RANDY MADDOX (M.D.)?
Save NPI 1699881250 if you need a stable reference for RANDY MADDOX (M.D.).
Is RANDY MADDOX (M.D.)'s NPI currently valid?
The extract we use shows RANDY MADDOX (M.D.) as active.
Can you summarize RANDY MADDOX (M.D.)'s specialty in plain language?
Clinically, the directory lists RANDY MADDOX (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for RANDY MADDOX (M.D.)?
We surface Benton, Arkansas for RANDY MADDOX (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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