DANA MARIE RANDALL (PA-C) – Surgical Physician Assistant, NPI 1013211630

DANA MARIE RANDALL (PA-C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA055363 (PA). The NPI Number for DANA MARIE RANDALL (PA-C) is 1013211630

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DANA MARIE RANDALL (PA-C)
NPI
1013211630
Phone
(215) 829-3493
Address
235 S 8TH ST
Enumeration Date
23 December 2010
Last Update Date
31 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5305435554
Graduation Year
2009 (17 years ago)
PAC ID
6507048501
Group Practice PAC ID
9537203351
Professional Enrollment ID
I20191206001174
Address ID
CA961507026SO2170XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for DANA MARIE RANDALL (PA-C)

  • 235 S 8TH ST

    1ST FLOOR

    PHILADELPHIA, PA 191063519

    Phone: (215) 829-3493

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Stryker Corporation ($35).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2019-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191206000585IPhysician AssistantCATBD
I20191206001174IPhysician AssistantNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9271$0
72110X-ray of lower and sacral spine, minimum of 4 views8262$0
22614Fusion of additional segment of spine5514$0
99212Established patient office or other outpatient visit, 10-19 minutes5248$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 19106)

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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: 9537203351View full group profile
NameSpecialtyState
Physician AssistantNV
Physician AssistantNV
Orthopedic Surgery, Sports MedicineCA
Physician AssistantCA
Physician AssistantCA
Orthopedic Surgery, Sports MedicineCA
Physician AssistantCA
-NV
-CA
Hand Surgery, Orthopedic SurgeryNV

Reviews

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Frequently asked questions

What number should I use to identify DANA MARIE RANDALL (PA-C) for billing?
Administrative and clinical systems typically use NPI 1013211630 for DANA MARIE RANDALL (PA-C).
Does the public listing show DANA MARIE RANDALL (PA-C) as active?
DANA MARIE RANDALL (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret DANA MARIE RANDALL (PA-C)'s specialty?
The extract shows Surgical Physician Assistant for DANA MARIE RANDALL (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to DANA MARIE RANDALL (PA-C)?
The directory associates DANA MARIE RANDALL (PA-C) with Philadelphia, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I export DANA MARIE RANDALL (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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