RANDALL I KLINE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1659366276
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
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Provider Addresses for RANDALL I KLINE (D.P.M.)
University Commons Medical Plaza, 6301, University Commons Drive, South Bend, Saint Joseph County, Indiana, 46635, United States
SUITE 100
SOUTH BEND, IN 466351571
Phone: (574) 247-4667
Fax: (574) 271-4458
Type: Mailing
211 N EDDY ST
SOUTH BEND, IN 466173096
Phone: (574) 247-4667
Fax: (574) 271-4458
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $3,221.
Total Amount is formed as General ($3,221) + Research ($0) + Ownership ($0) = $3,221.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Kerecis Limited ($2,679).
Total Amount
$3,221
General + Research + Ownership
Payments
16
Total payment records
General Amount
$3,221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $2,679 |
| TREACE MEDICAL CONCEPTS, INC. | $291 |
| ConvaTec Inc. | $143 |
| Smith+Nephew, Inc. | $53 |
| Nevro Corp. | $32 |
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: 2010-08-06
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 |
|---|---|---|---|---|
| I20100806000719 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 273 | 49 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 207 | 73 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 76 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 79 | 79 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 79 | 21 | $0 |
Insurance plans in this area (ZIP 46635)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IN | 11042 | Removal of skin and tissue first 20 sq cm or less | 22 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| Family Practice | KY | |
| Family Practice | IN | |
| O P H T H A L M O L O G Y | IN | |
| Physician Assistant | IN | |
| Family Practice | IN |
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