DR. JOHN CARLTON RANDOLPH (MD) – Ophthalmology Physician, NPI 1164621330

DR. JOHN CARLTON RANDOLPH (MD) is a healthcare provider. based in Orlando, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. ME119936 (FL). The NPI Number for DR. JOHN CARLTON RANDOLPH (MD) is 1164621330

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN CARLTON RANDOLPH (MD)
NPI
1164621330
Phone
(800) 255-7188
Address
3824 OAKWATER CIR
Enumeration Date
17 July 2007
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
4074257188
Graduation Year
2007 (19 years ago)
PAC ID
9537337183
Group Practice PAC ID
5698688182
Professional Enrollment ID
I20140812002049
Address ID
FL328066263OR3824XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for DR. JOHN CARLTON RANDOLPH (MD)

  • 3824 OAKWATER CIR

    ORLANDO, FL 328066263

    Phone: (800) 255-7188

    Fax: (407) 425-7188

    Type: Location

  • 1121 Miranda Ln Ste 1415

    Kissimmee, FL 347410763

    Phone: (407) 425-7188

    Fax: (407) 423-9040

    Type: Location

  • 1101 Wellness Way

    Oviedo, FL 327658237

    Phone: (407) 425-7188

    Fax: (407) 423-9040

    Type: Location

  • 250, Avenue K Southwest, Winter Haven Citi Center, Winter Haven, Polk County, Florida, 33880, United States

    SUITE 200

    WINTER HAVEN, FL 338803914

    Phone: (863) 297-5400

    Fax: (866) 914-5210

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $1,707.

Total Amount is formed as General ($1,707) + Research ($0) + Ownership ($0) = $1,707.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($534).

Total Amount

$1,707

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,707

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-08-12

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
I20140812002049IOphthalmologyFLTBD

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
J2777Injection, faricimab-svoa, 0.1 mg16,98055$0
J0178Injection, aflibercept, 1 mg2,408252$0
67028Injection of drug into eye1,797419$0
92134Imaging of retina1,535459$0
99214Established patient office or other outpatient visit, 30-39 minutes1,453814$0
View full utilization report →

Insurance plans in this area (ZIP 32806)

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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: 5698688182View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Is DR. JOHN CARLTON RANDOLPH (MD) listed with a National Provider Identifier?
Yes — DR. JOHN CARLTON RANDOLPH (MD) has NPI 1164621330 on file in the registry.
Active or inactive — what applies to DR. JOHN CARLTON RANDOLPH (MD)?
You should see DR. JOHN CARLTON RANDOLPH (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JOHN CARLTON RANDOLPH (MD)?
DR. JOHN CARLTON RANDOLPH (MD)'s record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN CARLTON RANDOLPH (MD) associated with Orlando?
Public fields place DR. JOHN CARLTON RANDOLPH (MD) around Orlando, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. JOHN CARLTON RANDOLPH (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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