DR. RANDALL LOUIS MCKISSACK (M.D.) – Surgery Physician, NPI 1487639621
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Loading map...
Provider Addresses for DR. RANDALL LOUIS MCKISSACK (M.D.)
801, East 6th Street, Panama City, Bay County, Florida, 32401, United States
SUITE 602
PANAMA CITY, FL 324013663
Phone: (850) 913-6960
Fax: (850) 914-7065
Type: Mailing
999, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
FORT WALTON BEACH, FL 325476758
Phone: (850) 863-8269
Fax: (850) 862-7965
Type: Location
1005 MAR WALT DRIVE
FORT WALTON BEACH, FL 325476707
Phone: (850) 863-8269
Fax: (850) 862-7965
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($102).
Total Amount
$102
General + Research + Ownership
Payments
3
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $102 |
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: 2006-11-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061114000035 | I | General Surgery | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 72 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 25 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 17 | $0 |
Insurance plans in this area (ZIP 32401)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Pain Management | FL | |
| Qualified Audiologist | FL | |
| Family Practice | FL | |
| - | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.