RANDALL K MINION (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1003887431

RANDALL K MINION (MD) is a healthcare provider. based in Fort dodge, Iowa. specializing in Addiction Medicine (Family Medicine) Physician. They hold the professional credentials MD. They hold a License No. 33067 (IA). The NPI Number for RANDALL K MINION (MD) is 1003887431

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL K MINION (MD)
NPI
1003887431
Phone
(515) 574-6890
Address
24 N 9TH ST
Enumeration Date
1 February 2006
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5155748519
Graduation Year
1983 (43 years ago)
PAC ID
3678555315
Group Practice PAC ID
7315858529
Professional Enrollment ID
I20040604000926
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for RANDALL K MINION (MD)

  • North 9th Street, Fort Dodge, Webster County, Iowa, 50501, United States

    SUITE A

    FORT DODGE, IA 505013909

    Phone: (515) 574-6890

    Type: Mailing

  • Kenyon Road, Fort Dodge, Webster County, Iowa, 50501, United States

    FORT DODGE, IA 505015776

    Phone: (515) 574-6800

    Type: Location

  • 211 AVENUE M W STE A

    FORT DODGE, IA 505015789

    Phone: (515) 576-7261

    Fax: (515) 955-7628

    Type: Mailing

  • 211 AVENUE M W

    FORT DODGE, IA 505015789

    Phone: (515) 576-7261

    Type: Location

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: 2004-06-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040604000926IFamily PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50501)

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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: 7315858529View full group profile
NameSpecialtyState
Nurse PractitionerIA
D E R M A T O L O G YOH
Certified Registered Nurse Anesthetist (Crna)AL
-IA
Family PracticeIA
Family PracticeMN
Emergency MedicineIA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

How do payers reference RANDALL K MINION (MD)?
For RANDALL K MINION (MD), use NPI 1003887431 as the unique 10-digit identifier.
Is RANDALL K MINION (MD) still an active registrant?
RANDALL K MINION (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for RANDALL K MINION (MD)?
At a glance, RANDALL K MINION (MD) is tied to Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Iowa is RANDALL K MINION (MD) registered?
Use Fort Dodge, Iowa as the headline location for RANDALL K MINION (MD) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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