JOHN RANDALL NORTHRUP (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1891178406

JOHN RANDALL NORTHRUP (D.P.M.) is a healthcare provider. based in Palm coast, Florida. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. PO3952 (FL). The NPI Number for JOHN RANDALL NORTHRUP (D.P.M.) is 1891178406

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOHN RANDALL NORTHRUP (D.P.M.)
NPI
1891178406
Phone
(904) 436-8001
Address
9 Pine Cone Dr Ste 101
Enumeration Date
30 June 2015
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
90443680011
Graduation Year
2015 (11 years ago)
PAC ID
7113266636
Group Practice PAC ID
6305185828
Professional Enrollment ID
I20190228000511
Address ID
FL320846024ST1690XSXXX504
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for JOHN RANDALL NORTHRUP (D.P.M.)

  • 9 Pine Cone Dr Ste 101

    Palm Coast, FL 321378683

    Phone: (904) 436-8001

    Fax: (904) 376-7761

    Type: Location

  • 1690 US HIGHWAY 1 S STE C

    ST AUGUSTINE, FL 320846024

    Phone: (904) 436-8001

    Fax: (904) 376-7761

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $2,368.

Total Amount is formed as General ($2,368) + Research ($0) + Ownership ($0) = $2,368.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Stryker Corporation ($835).

Total Amount

$2,368

General + Research + Ownership

Payments

39

Total payment records

General Amount

$2,368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2019-02-28

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
I20190228000511IPodiatryFLTBD

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
11721Removal of fingernails or toenails, 6 or more nails895307$0
11056Removal of noncancer thickened skin growth, 2-4 growths535189$0
99214Established patient office or other outpatient visit, 30-39 minutes357237$0
99213Established patient office or other outpatient visit, 20-29 minutes344234$0
11055Removal of noncancer thickened skin growth, 1 growth311128$0
View full utilization report →

Insurance plans in this area (ZIP 32137)

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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: 6305185828View full group profile
NameSpecialtyState
P O D I A T R YFL

Reviews

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Frequently asked questions

What federal number belongs to JOHN RANDALL NORTHRUP (D.P.M.)?
The federal identifier for JOHN RANDALL NORTHRUP (D.P.M.) is NPI 1891178406.
Does this profile mean JOHN RANDALL NORTHRUP (D.P.M.) is currently active?
Yes — JOHN RANDALL NORTHRUP (D.P.M.) appears active in the national provider directory.
Does JOHN RANDALL NORTHRUP (D.P.M.) list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for JOHN RANDALL NORTHRUP (D.P.M.). Clinical services aligned with this taxonomy classification.
What location shows for JOHN RANDALL NORTHRUP (D.P.M.)?
We surface Palm Coast, Florida for JOHN RANDALL NORTHRUP (D.P.M.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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