RANDY WIDTFELDT (PA) – Surgical Physician Assistant, NPI 1487089504
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for RANDY WIDTFELDT (PA)
405 Pearl St
Malden, MA 021486644
Phone: (781) 665-9500
Fax: (781) 665-3856
Type: Location
405 PEARL ST
MALDEN, MA 021486644
Phone: (781) 665-9500
Fax: (781) 665-3856
Type: Location
92 MONTVALE AVE
STE 1400
STONEHAM, MA 021803629
Phone: (781) 279-7040
Fax: (781) 279-8430
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $378.
Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($166).
Total Amount
$378
General + Research + Ownership
Payments
6
Total payment records
General Amount
$378
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $166 |
| Boston Scientific Corporation | $130 |
| DePuy Synthes Sales Inc. | $45 |
| Bioventus LLC | $19 |
| Ferring Pharmaceuticals Inc. | $19 |
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: 2013-12-02
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 |
|---|---|---|---|---|
| I20131202001056 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 160 | 154 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 45 | 44 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 19 | 16 | $0 |
Insurance plans in this area (ZIP 02148)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MA | 27447 | Repair of knee joint | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MA | |
| Orthopedic Surgery | MA | |
| Orthopedic Surgery | MA | |
| Physical Therapist In Private Practice | MA | |
| Occupational Therapist In Private Practice | MA | |
| Physician Assistant | NY | |
| Physical Therapist In Private Practice | MA | |
| Nurse Practitioner | MA | |
| Occupational Therapist In Private Practice | PA | |
| A N E S T H E S I O L O G Y | MA |
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