RANDOLPH S MARTIN (MD) – Cardiovascular Disease Physician, NPI 1366436818

RANDOLPH S MARTIN (MD) is a healthcare provider. based in Urbana, Illinois. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY), CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 036079474 (IL). The NPI Number for RANDOLPH S MARTIN (MD) is 1366436818

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
RANDOLPH S MARTIN (MD)
NPI
1366436818
Phone
(217) 902-5292
Address
611 W PARK ST
Enumeration Date
9 September 2005
Last Update Date
6 April 2020

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
2172585900
Graduation Year
1982 (44 years ago)
PAC ID
4082694484
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20040802001325
Address ID
IL619389388MA200XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for RANDOLPH S MARTIN (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    FAPC

    URBANA, IL 61801

    Phone: (217) 902-5292

    Type: Mailing

  • 319 E Madison St Ste 2D

    Springfield, IL 627013120

    Phone: (217) 546-0750

    Fax: (217) 546-0894

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($59).

Total Amount

$91

General + Research + Ownership

Payments

3

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2004-08-02

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
I20040802001325IInternal MedicineILTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only545450$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes154151$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function127127$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes8988$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8156$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Provider's Procedures

RANDOLPH S MARTIN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL85610Blood test, clotting time15716
INTERNAL MEDICINEIL93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report11943

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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
-IL
-IL

Reviews

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Frequently asked questions

How do payers reference RANDOLPH S MARTIN (MD)?
For RANDOLPH S MARTIN (MD), use NPI 1366436818 as the unique 10-digit identifier.
Would RANDOLPH S MARTIN (MD) appear as active to a payer?
You can treat RANDOLPH S MARTIN (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to RANDOLPH S MARTIN (MD)?
RANDOLPH S MARTIN (MD)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is RANDOLPH S MARTIN (MD) registered?
Use Urbana, Illinois as the headline location for RANDOLPH S MARTIN (MD) here.
When was this NPI issued?
Enumeration for RANDOLPH S MARTIN (MD) is noted as September 9, 2005 where the registry provides it.

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