DR. JEFFREY G RANDLE (MD) – Physical Medicine & Rehabilitation Physician, NPI 1063404424
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
153 PHYSICAL MEDICINE AND REHABILITATION in UT
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Provider Addresses for DR. JEFFREY G RANDLE (MD)
280 S MAIN ST
BOUNTIFUL, UT 840106236
Phone: (801) 505-0821
Type: Mailing
1160, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
#5000
SALT LAKE CITY, UT 841241275
Phone: (801) 262-8486
Fax: (801) 284-8699
Type: Location
2326 N 400 E Ste 102
Tooele, UT 840743460
Phone: (435) 241-6444
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Bioventus LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $15 |
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: 2005-01-19
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 |
|---|---|---|---|---|
| I20050119001171 | I | Physical Medicine And Rehabilitation | UT | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 112 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 30 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 20 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 84010)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | UT | 62311 | Injections of substances into lower or sacral spine | 71 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Hand Surgery | UT | |
| Physical Medicine And Rehabilitation, Sports Medicine | CA | |
| P O D I A T R Y | UT | |
| - | UT | |
| - | UT | |
| Physical Medicine And Rehabilitation | UT | |
| - | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | UT | |
| Orthopedic Surgery | UT |
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