DR. RANDY M KREIDER (MD) – Family Medicine Physician, NPI 1720052905

DR. RANDY M KREIDER (MD) is a healthcare provider. based in Clarion, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD033788E (PA). The NPI Number for DR. RANDY M KREIDER (MD) is 1720052905

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY M KREIDER (MD)
NPI
1720052905
Phone
(814) 227-1221
Address
22681 ROUTE 68
Enumeration Date
15 February 2006
Last Update Date
23 November 2011

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8148775381
Graduation Year
1984 (42 years ago)
PAC ID
2961539796
Group Practice PAC ID
4880593722
Professional Enrollment ID
I20100427000227
Address ID
PA165082740ER3406XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for DR. RANDY M KREIDER (MD)

  • 68, Route 208, Millerstown, Elk Township, Clarion County, Pennsylvania, 16334, United States

    CLARION, PA 162144019

    Phone: (814) 227-1221

    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.

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: 2010-04-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100427000227IFamily PracticePATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes858378$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes843119$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes40783$0
93793Anticoagulant management of patient taking warfarin18228$0
G0008Administration of influenza virus vaccine105105$0
View full utilization report →

Insurance plans in this area (ZIP 16214)

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Provider's Procedures

DR. RANDY M KREIDER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA90670Pneumococcal vaccine for injection into muscle7979

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: 4880593722View full group profile
NameSpecialtyState
Family Practice, Emergency MedicinePA
-PA
-PA
Diagnostic RadiologyPA
-PA
Nurse PractitionerPA
-PA
Diagnostic RadiologyNV
-PA
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

Does DR. RANDY M KREIDER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RANDY M KREIDER (MD) uses 1720052905.
Does the file indicate DR. RANDY M KREIDER (MD) is practicing under active NPI?
Directory data currently reports DR. RANDY M KREIDER (MD) as active.
What is DR. RANDY M KREIDER (MD) best known for clinically?
Directory data describes DR. RANDY M KREIDER (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. RANDY M KREIDER (MD) based?
DR. RANDY M KREIDER (MD) is tied to Clarion, Pennsylvania in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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