MR. RANDOLPH CHARLES FISH (D.P.M.) – Primary Podiatric Medicine Podiatrist, NPI 1063493559
Primary Podiatric Medicine Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
360 PODIATRY in WA
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Provider Addresses for MR. RANDOLPH CHARLES FISH (D.P.M.)
South 76th Street, Tacoma, Pierce County, Washington, 98409, United States
TACOMA, WA 984082902
Phone: (253) 584-9530
Fax: (360) 427-2769
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 13 Open Payments records for all available years, with a total value of $675.
Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Smith+Nephew, Inc. ($328).
Total Amount
$675
General + Research + Ownership
Payments
13
Total payment records
General Amount
$675
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $328 |
| Linvatec Corporation | $75 |
| Horizon Therapeutics plc | $69 |
| ABBVIE INC. | $68 |
| Organogenesis Inc. | $67 |
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: 2005-03-09
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 |
|---|---|---|---|---|
| I20050309000284 | I | Podiatry | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 489 | 85 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 216 | 56 | $0 |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 52 | 12 | $0 |
| 17250 | Application of chemical to stop tissue regrowth in wound | 43 | 13 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 37 | 19 | $0 |
Insurance plans in this area (ZIP 98408)
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