DR. RANDY M FOSS (MD) – Family Medicine Physician, NPI 1083903033

DR. RANDY M FOSS (MD) is a healthcare provider. based in Lake city, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 57394 (MN). The NPI Number for DR. RANDY M FOSS (MD) is 1083903033

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY M FOSS (MD)
NPI
1083903033
Phone
(651) 345-3321
Address
500 W GRANT ST
Enumeration Date
30 March 2011
Last Update Date
28 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6513453321
Graduation Year
2011 (15 years ago)
PAC ID
0547403446
Group Practice PAC ID
1951213487
Professional Enrollment ID
I20140415001283

Contacts

Secure Messaging
rfoss88074@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. RANDY M FOSS (MD)

  • 500 W GRANT ST

    LAKE CITY, MN 550411143

    Phone: (651) 345-3321

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $325.

Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Abbott Laboratories ($325).

Total Amount

$325

General + Research + Ownership

Payments

2

Total payment records

General Amount

$325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$325
View all Open Payments →|Open Payments Risk Radar →

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: 2014-04-15

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
I20140415001283IFamily PracticeMNTBD

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 55041)

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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: 1951213487View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
-MN
Diagnostic RadiologyMN
Pulmonary DiseaseMN
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology)MN
Diagnostic RadiologyNE
Diagnostic RadiologyMN
P A T H O L O G YWI
-MN
Internal Medicine, HospitalistMN

Reviews

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Frequently asked questions

Where can patients find DR. RANDY M FOSS (MD)'s NPI?
You can confirm DR. RANDY M FOSS (MD) with NPI 1083903033; it appears in the national provider directory.
Is DR. RANDY M FOSS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. RANDY M FOSS (MD) work in?
You can think of DR. RANDY M FOSS (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. RANDY M FOSS (MD)'s primary listing?
We display Lake City, Minnesota because that is what the record indicates for DR. RANDY M FOSS (MD).
Is DR. RANDY M FOSS (MD) a real provider?
This page reflects official NPPES data for NPI 1083903033. Always confirm identity and privileges with the practice and licensing boards.

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