DR. JACOB RUSSELL RANDICH (DPM) – Podiatrist, NPI 1922668755
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
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Provider Addresses for DR. JACOB RUSSELL RANDICH (DPM)
646, Vine Street, Hampshire, Kane County, Illinois, 60140, United States
HAMPSHIRE, IL 601405620
Phone: (630) 337-8353
Type: Mailing
5666, East State Street, Rockford, Winnebago County, Illinois, 61108, United States
ROCKFORD, IL 611082425
Phone: (815) 226-2000
Type: Location
203 PLAZA DRIVE
SIKESTON, MO 63801
Phone: (573) 475-6488
Fax: (573) 475-6489
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $2,010.
Total Amount is formed as General ($2,010) + Research ($0) + Ownership ($0) = $2,010.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Stryker Corporation ($693).
Total Amount
$2,010
General + Research + Ownership
Payments
51
Total payment records
General Amount
$2,010
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
| Company | Amount |
|---|---|
| Stryker Corporation | $693 |
| Paragon 28, Inc. | $471 |
| Organogenesis Inc. | $154 |
| Smith+Nephew, Inc. | $137 |
| Reprise Biomedical, Inc. | $91 |
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: 2022-07-26
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 |
|---|---|---|---|---|
| I20220726002090 | I | Podiatry | MO | 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 | 464 | 166 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 334 | 194 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 185 | 185 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 155 | 80 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 144 | 45 | $0 |
Insurance plans in this area (ZIP 60140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Podiatry, Sports Medicine | MO | |
| P O D I A T R Y | AR | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | TX | |
| P O D I A T R Y | IL | |
| P O D I A T R Y | MO |
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