RANDALL PATKIN (MD) – Ophthalmology Physician, NPI 1366447864

RANDALL PATKIN (MD) is a healthcare provider. based in Salem, Massachusetts. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 70754 (MA). The NPI Number for RANDALL PATKIN (MD) is 1366447864

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL PATKIN (MD)
NPI
1366447864
Phone
(978) 744-1177
Address
400 HIGHLAND AVE
Enumeration Date
20 June 2005
Last Update Date
30 December 2021

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
9787441177
Graduation Year
1985 (41 years ago)
PAC ID
7416974910
Group Practice PAC ID
2264561174
Professional Enrollment ID
I20051024000986
Address ID
MA019701783SA400XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

801 OPHTHALMOLOGY in MA

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Provider Addresses for RANDALL PATKIN (MD)

  • Urology Consultants of the North Shore, 400, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States

    SUITE 20

    SALEM, MA 019707003

    Phone: (978) 744-1177

    Fax: (978) 910-0125

    Mailing address matches the actual address.

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: 2005-10-24

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
I20051024000986IOphthalmologyMATBD

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
92014Established patient complete exam of visual system1,0621,061$0
92250Photography of the retina792779$0
83861Microfluid analysis of tears307150$0
99213Established patient office or other outpatient visit, 20-29 minutes173150$0
92133Imaging of optic nerve116114$0
View full utilization report →

Insurance plans in this area (ZIP 01970)

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Provider's Procedures

RANDALL PATKIN (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMA92083Measurement of field of vision during daylight conditions267259
OPHTHALMOLOGYMA92134Diagnostic imaging of retina7370

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: 2264561174View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMA
O P T O M E T R YPA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
-MA
O P H T H A L M O L O G YMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for RANDALL PATKIN (MD)?
RANDALL PATKIN (MD) — NPI 1366447864 — is the standard way to identify this listing.
Is RANDALL PATKIN (MD) listed as active for patients and plans?
The listing shows RANDALL PATKIN (MD) as active in the NPI system.
What is RANDALL PATKIN (MD)'s primary classification?
Ophthalmology Physician is the headline specialty for RANDALL PATKIN (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for RANDALL PATKIN (MD)?
RANDALL PATKIN (MD)'s geographic hint is Salem, Massachusetts in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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