GRANT JEFFREY RANDALL (MD) – Dermatology Physician, NPI 1245793728

GRANT JEFFREY RANDALL (MD) is a healthcare provider. based in Gainesville, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2024001206 (MO). The NPI Number for GRANT JEFFREY RANDALL (MD) is 1245793728

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
GRANT JEFFREY RANDALL (MD)
NPI
1245793728
Phone
(352) 265-0239
Address
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Enumeration Date
10 April 2019
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8162871528
Graduation Year
2019 (7 years ago)
PAC ID
1052642493
Group Practice PAC ID
3870856669
Professional Enrollment ID
I20240712001706
Address ID
MO640631806LE601XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for GRANT JEFFREY RANDALL (MD)

  • UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE

    1600 SW ARCHER ROAD, ROOM 4102

    GAINESVILLE, FL 326100277

    Phone: (352) 265-0239

    Type: Mailing

  • 601 NW OBRIEN RD

    LEES SUMMIT, MO 640631806

    Phone: (816) 287-1528

    Fax: (343) 503-0640

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,806.

Total Amount is formed as General ($1,806) + Research ($0) + Ownership ($0) = $1,806.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GENZYME CORPORATION ($565).

Total Amount

$1,806

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,806

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200930001356IGeneral PracticeINTBD
I20240712001706IDermatologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32610)

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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: 3870856669View full group profile
NameSpecialtyState
Physician AssistantSC
Physician AssistantMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO
D E R M A T O L O G YKS

Reviews

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Frequently asked questions

Where can patients find GRANT JEFFREY RANDALL (MD)'s NPI?
You can confirm GRANT JEFFREY RANDALL (MD) with NPI 1245793728; it appears in the national provider directory.
Does this profile mean GRANT JEFFREY RANDALL (MD) is currently active?
Yes — GRANT JEFFREY RANDALL (MD) appears active in the national provider directory.
What kind of provider is GRANT JEFFREY RANDALL (MD)?
The page reflects Dermatology Physician for GRANT JEFFREY RANDALL (MD). Clinical services aligned with this taxonomy classification.
What location shows for GRANT JEFFREY RANDALL (MD)?
We surface Gainesville, Florida for GRANT JEFFREY RANDALL (MD) based on available NPPES addresses.
Is GRANT JEFFREY RANDALL (MD) a real provider?
This page reflects official NPPES data for NPI 1245793728. Always confirm identity and privileges with the practice and licensing boards.

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