RANDY K METCALF (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1073506648
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
60 THORACIC SURGERY in AR
Provider Addresses for RANDY K METCALF (MD)
PO BOX 2699
PENSACOLA, FL 325132699
Phone: (850) 416-4970
Type: Mailing
1500 DODSON AVE STE 285B
FORT SMITH, AR 729015182
Phone: (479) 709-7025
Fax: (479) 709-7026
Type: Location
32nd Avenue, River Drive, Fargo, Cass County, North Dakota, 58109, United States
FARGO, ND 581036132
Phone: (701) 364-8000
Type: Location
3000 32nd Ave S
Fargo, ND 581036132
Phone: (701) 364-8000
Type: Location
5153 N 9th Ave
Suite 404
Pensacola, FL 325048785
Phone: (850) 416-4970
Type: Location
11108 Parkview Circle Dr Ste 5100
Fort Wayne, IN 468451730
Phone: (260) 266-2800
Fax: (260) 266-2805
Type: Location
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 722114393
Phone: (479) 709-7025
Fax: (479) 709-7026
Type: Mailing
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: 2025-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100119000521 | I | Cardiac Surgery | PA | TBD |
| I20190808003045 | I | Cardiac Surgery | OH | TBD |
| I20231212003720 | I | Thoracic Surgery | IN | TBD |
| I20251120002890 | I | Thoracic Surgery | NY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32513)
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