DR. RANDALL C EDGELL (MD) – Vascular Neurology Physician, NPI 1912097817

DR. RANDALL C EDGELL (MD) is a healthcare provider. based in Springfield, Illinois. specializing in NEUROLOGY, INTERVENTIONAL RADIOLOGY, VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 036145444 (IL). The NPI Number for DR. RANDALL C EDGELL (MD) is 1912097817

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDALL C EDGELL (MD)
NPI
1912097817
Phone
(217) 757-6867
Address
421 N 9th St
Enumeration Date
13 October 2006
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
6305876137
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20070809000237
Address ID
MO631041016SA1225XBLVD400
Telehealth
Yes

Contacts

Secure Messaging
redgell22320@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
redgell182800@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,188 NEUROLOGY in IL

Provider Addresses for DR. RANDALL C EDGELL (MD)

  • 421 N 9th St

    Springfield, IL 627025317

    Phone: (217) 757-6867

    Type: Location

  • 3801 S National Ave

    Springfield, MO 658075210

    Phone: (000) 000-0000

    Type: Location

  • 301 N 8th St

    Springfield, IL 627011041

    Phone: (217) 528-7541

    Type: Location

  • 1008 S SPRING AVE

    SAINT LOUIS, MO 631102520

    Phone: (314) 977-4864

    Fax: (314) 977-4878

    Type: Mailing

  • 1225 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone: (314) 977-4864

    Fax: (314) 977-4878

    Type: Location

  • 1438, South Grand Boulevard, Gate District, City of Saint Louis, Missouri, 63104, United States

    SAINT LOUIS, MO 631041027

    Phone: (314) 977-4864

    Fax: (314) 977-4878

    Type: Mailing

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 $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: MicroVention, Inc. ($250).

Total Amount

$351

General + Research + Ownership

Payments

3

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2021-07-24

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
I20070809000237INeurologyMOTBD
I20210724000021INeurologyILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12060$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4544$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2222$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2115$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 62702)

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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: 0143608372View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Pediatric Medicine, Hematology/OncologyTN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)MO
Pediatric MedicineIL
G A S T R O E N T E R O L O G YWV
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Infectious DiseaseOH
Physician AssistantMO
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

What federal number belongs to DR. RANDALL C EDGELL (MD)?
The federal identifier for DR. RANDALL C EDGELL (MD) is NPI 1912097817.
Does this profile mean DR. RANDALL C EDGELL (MD) is currently active?
Yes — DR. RANDALL C EDGELL (MD) appears active in the national provider directory.
What does DR. RANDALL C EDGELL (MD) treat or focus on?
Patients typically see DR. RANDALL C EDGELL (MD) under the specialty Vascular Neurology Physician. Clinical services aligned with this taxonomy classification.
Does DR. RANDALL C EDGELL (MD) practice in Illinois?
You will see Springfield, Illinois on file for DR. RANDALL C EDGELL (MD) alongside any extra practice locations.
Is DR. RANDALL C EDGELL (MD) a real provider?
This page reflects official NPPES data for NPI 1912097817. Always confirm identity and privileges with the practice and licensing boards.

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