DR. JOHN K RANDALL (RPH, MD) – MOHS-Micrographic Surgery Physician, NPI 1326076530
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
23 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in IN
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Provider Addresses for DR. JOHN K RANDALL (RPH, MD)
124 SAGAMORE PKWY W
WEST LAFAYETTE, IN 479061569
Phone: (765) 463-6722
Fax: (765) 463-0905
Type: Mailing
South, Lexington, Lafayette County, Missouri, 64067, United States
LAFAYETTE, IN 479098110
Phone: (765) 523-2344
Fax: (765) 463-0905
Type: Mailing
124, Sagamore Parkway West, West Lafayette, Tippecanoe County, Indiana, 47905, United States
WEST LAFAYETTE, IN 479061569
Phone: (765) 463-6722
Fax: (765) 463-0905
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 123 Open Payments records for all available years, with a total value of $1,602.
Total Amount is formed as General ($1,602) + Research ($0) + Ownership ($0) = $1,602.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($732).
Total Amount
$1,602
General + Research + Ownership
Payments
123
Total payment records
General Amount
$1,602
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $732 |
| ABBVIE INC. | $341 |
| Janssen Biotech, Inc. | $120 |
| E.R. Squibb & Sons, L.L.C. | $113 |
| Celgene Corporation | $34 |
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: 2006-05-04
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 |
|---|---|---|---|---|
| I20060504000920 | I | Micrographic Dermatologic Surgery (Mds) | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,220 | 575 | $0 |
| Q4102 | Oasis wound matrix, per square centimeter | 1,459 | 116 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 1,316 | 74 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 1,245 | 67 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 1,199 | 65 | $0 |
Insurance plans in this area (ZIP 47906)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IN | 11101 | Biopsy of each additional growth of skin and/or tissue | 207 | 118 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | WA |
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