RANDY S. LARGE (DO) – Anesthesiology Physician, NPI 1538149778

RANDY S. LARGE (DO) is a healthcare provider. based in Joplin, Missouri. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 2010000744 (MO). The NPI Number for RANDY S. LARGE (DO) is 1538149778

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
RANDY S. LARGE (DO)
NPI
1538149778
Phone
(417) 347-3649
Address
1102 W 32nd St
Enumeration Date
21 January 2006
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8163481200
Graduation Year
1990 (36 years ago)
PAC ID
7214969138
Group Practice PAC ID
1951206168
Professional Enrollment ID
I20100819000622
Address ID
MO640122165BE17065HWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

1,228 ANESTHESIOLOGY in MO

Provider Addresses for RANDY S. LARGE (DO)

  • 1102 W 32nd St

    Joplin, MO 648043503

    Phone: (417) 347-3649

    Type: Location

  • Joplin Post Office, 2nd Avenue East, Joplin, Liberty County, Montana, 59531, United States

    JOPLIN, MO 648033810

    Phone: (417) 347-3649

    Type: Mailing

  • 1102, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States

    JOPLIN, MO 648043503

    Phone: (417) 347-3649

    Type: Location

  • 8717 W 110TH ST STE 600

    OVERLAND PARK, KS 662102126

    Phone: (913) 428-2900

    Fax: (913) 428-2951

    Type: Mailing

  • 17065 S OUTER RD

    BELTON, MO 640122165

    Phone: (816) 348-1200

    Fax: (913) 428-2951

    Type: Location

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: 2022-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20100819000622IAnesthesiologyMOTBD
I20150115002306IAnesthesiologyFLTBD
I20220923001460IAnesthesiologyKSTBD

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
01402Anesthesia for procedure for total knee joint replacement1717$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1515$0
00790Anesthesia for other procedure on upper abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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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: 1951206168View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
-KS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YKS
Certified Registered Nurse Anesthetist (Crna)MO
-KS
A N E S T H E S I O L O G YKS
-KS
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

What identifier follows RANDY S. LARGE (DO) across health systems?
The NPI 1538149778 uniquely identifies RANDY S. LARGE (DO) in U.S. healthcare data.
Is RANDY S. LARGE (DO) currently accepting referrals based on NPI status?
Registry metadata lists RANDY S. LARGE (DO) as active.
How should patients interpret RANDY S. LARGE (DO)'s specialty?
The extract shows Anesthesiology Physician for RANDY S. LARGE (DO). Clinical services aligned with this taxonomy classification.
Which community is linked to RANDY S. LARGE (DO)?
RANDY S. LARGE (DO) shows a connection to Joplin, Missouri in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.