RANDALL MONTGOMERY JR. ANDERSON (MD) – Orthopaedic Surgery Physician, NPI 1053471300
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
933 ORTHOPEDIC SURGERY in GA
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Provider Addresses for RANDALL MONTGOMERY JR. ANDERSON (MD)
221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651369
Phone: (762) 235-1000
Type: Mailing
Martha Berry Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30149, United States
ROME, GA 301651625
Phone: (762) 235-2700
Fax: (706) 236-6437
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2023-06-22 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($142).
Total Amount
$142
General + Research + Ownership
Payments
1
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $142 |
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: 2006-01-18
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 |
|---|---|---|---|---|
| I20060118000704 | I | Orthopedic Surgery | GA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 552 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 244 | 173 | $0 |
| 73564 | X-ray of knee, 4 or more views | 238 | 188 | $0 |
| 73502 | X-ray of hip, 2-3 views | 180 | 142 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 132 | 92 | $0 |
Insurance plans in this area (ZIP 30165)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Radiation Oncology | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
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