SANDRA RENAE RANDOLPH (AUD) – Audiologist, NPI 1023268968
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
132 QUALIFIED AUDIOLOGIST in OR
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Provider Addresses for SANDRA RENAE RANDOLPH (AUD)
North Bend Medical Center, 1900, Woodland Drive, Coos Bay, Coos County, Oregon, 97420, United States
COOS BAY, OR 974202045
Phone: (541) 267-5151
Fax: (541) 266-4595
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)
No Open Payments data available for this provider.
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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: 2011-02-04
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 |
|---|---|---|---|---|
| I20110204000682 | I | Qualified Audiologist | OR | 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 |
|---|---|---|---|---|
| 92557 | Comprehensive hearing and speech recognition test | 370 | 353 | $0 |
| 92567 | Test to assess middle ear function | 313 | 298 | $0 |
| 92552 | Test for hearing various pitches using earphone | 37 | 37 | $0 |
| 92556 | Test for ability to detect and repeat spoken words with speech recognition | 29 | 29 | $0 |
Insurance plans in this area (ZIP 97420)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| Family Practice | HI | |
| - | MI | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Internal Medicine | OR |
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