MR. MARK RANDY HALSTROM (MD) – Family Medicine Physician, NPI 1982601647
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
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Provider Addresses for MR. MARK RANDY HALSTROM (MD)
100, 2nd Street South, Hi-Vue Trailer Park, Sartell, Stearns County, Minnesota, 56377, United States
SARTELL, MN 563771977
Phone: (320) 251-2600
Fax: (320) 251-4763
Type: Location
PO BOX 296
SARTELL, MN 563770296
Phone: (320) 251-2600
Fax: (320) 251-4763
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($33).
Total Amount
$114
General + Research + Ownership
Payments
7
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $33 |
| PFIZER INC. | $19 |
| Abbott Laboratories | $17 |
| Novo Nordisk Inc | $17 |
| Electromed, Inc. | $14 |
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: 2010-11-02
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 |
|---|---|---|---|---|
| I20101102000633 | I | Family Practice | MN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 199 | 109 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 193 | 125 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 88 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 124 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 86 | 86 | $0 |
Insurance plans in this area (ZIP 56377)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MN | 90670 | Pneumococcal vaccine for injection into muscle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physician Assistant | MN | |
| C H I R O P R A C T I C | MN | |
| Physical Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| Physical Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN |
Reviews
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