GREG C RANDALL (MD) – Family Medicine Physician, NPI 1255333662

GREG C RANDALL (MD) is a healthcare provider. based in Bloomington, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 28794 (MN). The NPI Number for GREG C RANDALL (MD) is 1255333662

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
GREG C RANDALL (MD)
NPI
1255333662
Phone
(952) 985-8911
Address
7801 E BUSH LAKE RD
Enumeration Date
15 August 2005
Last Update Date
10 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9524690500
Graduation Year
1983 (43 years ago)
PAC ID
0143132852
Group Practice PAC ID
2567372998
Professional Enrollment ID
I20070731000395
Address ID
MN550441913LA9974XWXXX400

Contacts

Secure Messaging
fhmclonsdale@direct.northfieldhospital.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

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Provider Addresses for GREG C RANDALL (MD)

  • 7801, East Bush Lake Road, Cahill, Bloomington, Hennepin County, Minnesota, 55439, United States

    STE 300

    BLOOMINGTON, MN 554393120

    Phone: (952) 985-8911

    Fax: (952) 985-8999

    Type: Mailing

  • Kenwood Trail, Streefland, Lakeville, Dakota County, Minnesota, 55306, United States

    LAKEVILLE, MN 550448330

    Phone: (952) 985-8600

    Fax: (952) 985-8699

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Exact Sciences Corporation ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-07-31

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
I20070731000395IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample11584$0
99214Established patient office or other outpatient visit, 30-39 minutes10276$0
99213Established patient office or other outpatient visit, 20-29 minutes4133$0
85018Blood count, hemoglobin3330$0
83036Hemoglobin a1c level2317$0
View full utilization report →

Insurance plans in this area (ZIP 55439)

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Provider's Procedures

GREG C RANDALL (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN90670Pneumococcal vaccine for injection into muscle1414

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: 2567372998View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Addiction MedicineMN
Orthopedic SurgeryNE
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Orthopedic SurgeryMN
Certified Registered Nurse Anesthetist (Crna)KY
O B S T E T R I C S/ G Y N E C O L O G YMN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN

Reviews

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Frequently asked questions

How is GREG C RANDALL (MD) identified in CMS data?
CMS-hosted NPPES data lists GREG C RANDALL (MD) with NPI 1255333662.
Is GREG C RANDALL (MD) listed as active for patients and plans?
The listing shows GREG C RANDALL (MD) as active in the NPI system.
What is GREG C RANDALL (MD)'s primary classification?
Family Medicine Physician is the headline specialty for GREG C RANDALL (MD) here. Clinical services aligned with this taxonomy classification.
Where is GREG C RANDALL (MD) based?
GREG C RANDALL (MD) is tied to Bloomington, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about GREG C RANDALL (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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