DR. JOHN D RANDOLPH (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1629065636
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
42 THORACIC SURGERY in OK
Provider Addresses for DR. JOHN D RANDOLPH (M.D.)
7800, Northwest 85th Terrace, Oklahoma City, Oklahoma County, Oklahoma, 73132, United States
OKLAHOMA CITY, OK 731323385
Phone:
Type: Mailing
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 731208382
Phone: (405) 608-3800
Fax: (405) 608-3830
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 $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $23 |
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: 2006-06-14
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 |
|---|---|---|---|---|
| I20060614000174 | I | Thoracic Surgery | OK | 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 | 505 | 333 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 200 | 200 | $0 |
| 33508 | Harvest of vein using an endoscope | 156 | 156 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 147 | 147 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 58 | 58 | $0 |
Insurance plans in this area (ZIP 73132)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | OK | 33518 | Combined multiple vein and artery heart artery bypasses | 54 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, General Surgery | OK | |
| - | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | OK | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OK | |
| Interventional Pain Management, Anesthesiology | OK | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | OK | |
| - | OK | |
| Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology) | OK |
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