DR. RANDALL SCOTT ANSELMO (MD) – Family Medicine Physician, NPI 1417024936
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
355 FAMILY PRACTICE in VT
Provider Addresses for DR. RANDALL SCOTT ANSELMO (MD)
1 College Dr
Bennington, VT 052016003
Phone: (802) 440-4426
Fax: (802) 440-4427
Type: Location
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 320865776
Phone: (904) 826-3469
Fax: (904) 808-4608
Type: Location
574 ORE BED RD
NORTH BENNINGTON, VT 052579668
Phone: (802) 447-7959
Fax: (802) 440-4427
Type: Mailing
1 COLLEGE DR
BENNINGTON, VT 052016003
Phone: (802) 440-4426
Fax: (802) 440-4427
Type: Location
417 MARSH POINT CIR
ST AUGUSTINE, FL 320805865
Phone: (802) 375-4005
Fax: (802) 491-8231
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $270.
Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Novo Nordisk Inc ($203).
Total Amount
$270
General + Research + Ownership
Payments
10
Total payment records
General Amount
$270
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $203 |
| ALK-Abello, Inc | $25 |
| Inspire Medical Systems, Inc. | $25 |
| Astellas Pharma US Inc | $17 |
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: 2024-02-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120320000071 | I | Family Practice | VT | TBD |
| I20240212003096 | I | Family Practice | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| P O D I A T R Y | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL |
Reviews
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