DR. RANDOLPH J. FERLIC (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1912989922

DR. RANDOLPH J. FERLIC (M.D.) is a healthcare provider. based in South bend, Indiana. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 01047894A (IN). The NPI Number for DR. RANDOLPH J. FERLIC (M.D.) is 1912989922

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDOLPH J. FERLIC (M.D.)
NPI
1912989922
Phone
(574) 247-9441
Address
53880 CARMICHAEL DR
Enumeration Date
16 November 2005
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7652847738
Graduation Year
1992 (34 years ago)
PAC ID
4082678438
Group Practice PAC ID
5698667822
Professional Enrollment ID
I20041116000000
Address ID
IN473045407MU3600XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

82 HAND SURGERY in IN

Provider Addresses for DR. RANDOLPH J. FERLIC (M.D.)

  • 53880 CARMICHAEL DR

    SOUTH BEND, IN 466351567

    Phone: (574) 247-9441

    Fax: (574) 247-9442

    Type: Mailing

  • 3600 W BETHEL AVE

    MUNCIE, IN 473045407

    Phone:

    Type: Mailing

  • 16177 WATERBURY BND

    GRANGER, IN 465308396

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-11-16

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
I20041116000000IHand SurgeryINTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg820293$0
99213Established patient office or other outpatient visit, 20-29 minutes330257$0
73130X-ray of hand, minimum of 3 views254234$0
99203New patient office or other outpatient visit, 30-44 minutes241241$0
20550Injection into tendon or ligament237181$0
View full utilization report →

Insurance plans in this area (ZIP 46635)

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Provider's Procedures

DR. RANDOLPH J. FERLIC (M.D.) performs procedures in HAND SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HAND SURGERYIN73110X-ray of wrist, minimum of 3 views7754
HAND SURGERYIN73140X-ray of fingers, minimum of 2 views6043
HAND SURGERYIN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1613

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: 5698667822View full group profile
NameSpecialtyState
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Physician AssistantIN
Physical Therapist In Private PracticeIN
Physician AssistantIN
Physical Therapist In Private PracticeIN
Nurse PractitionerIN
Physical Therapist In Private PracticeIN
Nurse PractitionerIN

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Frequently asked questions

What identifier follows DR. RANDOLPH J. FERLIC (M.D.) across health systems?
The NPI 1912989922 uniquely identifies DR. RANDOLPH J. FERLIC (M.D.) in U.S. healthcare data.
Is DR. RANDOLPH J. FERLIC (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. RANDOLPH J. FERLIC (M.D.) as active.
What does the directory say DR. RANDOLPH J. FERLIC (M.D.) does?
Insurance directories may phrase it differently, but here DR. RANDOLPH J. FERLIC (M.D.) maps to Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. RANDOLPH J. FERLIC (M.D.) tied to South Bend, Indiana?
If you are local to South Bend, Indiana, DR. RANDOLPH J. FERLIC (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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