DR. MARK B RANDOLPH (MD) – Family Medicine Physician, NPI 1982677209

DR. MARK B RANDOLPH (MD) is a healthcare provider. based in San marcos, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. L8483 (TX). The NPI Number for DR. MARK B RANDOLPH (MD) is 1982677209

Main info

Male
Sole Proprietor
24 Years Of Experience
Name
DR. MARK B RANDOLPH (MD)
NPI
1982677209
Phone
(512) 878-6330
Address
PO BOX 1621
Enumeration Date
8 February 2006
Last Update Date
17 August 2012

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8306065533
Graduation Year
2002 (24 years ago)
PAC ID
1052323961
Group Practice PAC ID
6305149121
Professional Enrollment ID
I20060614000242
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

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Provider Addresses for DR. MARK B RANDOLPH (MD)

  • San Marcos Post Office, 210, South Stagecoach Trail, San Marcos, Hays County, Texas, 78666, United States

    SAN MARCOS, TX 786671621

    Phone: (512) 878-6330

    Fax: (512) 878-6941

    Type: Mailing

  • 1920, Corporate Drive, Feltner, San Marcos, Texas, 78666, United States

    SUITE 208

    SAN MARCOS, TX 786666077

    Phone: (512) 878-6330

    Fax: (512) 878-6941

    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 $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Medtronic, Inc. ($192).

Total Amount

$192

General + Research + Ownership

Payments

1

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$192
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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060614000242IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78667)

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Provider's Procedures

DR. MARK B RANDOLPH (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX81002Urinalysis, manual test2013

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: 6305149121View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for DR. MARK B RANDOLPH (MD)?
The registry entry for DR. MARK B RANDOLPH (MD) shows NPI 1982677209.
Quick check: is DR. MARK B RANDOLPH (MD) active?
Public NPPES data shows DR. MARK B RANDOLPH (MD) with an active NPI status right now.
What services align with DR. MARK B RANDOLPH (MD)'s listing?
DR. MARK B RANDOLPH (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARK B RANDOLPH (MD) tied to San Marcos, Texas?
If you are local to San Marcos, Texas, DR. MARK B RANDOLPH (MD) may be relevant to your search.
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.

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