RANDY D SORUM (M.D.) – Radiation Oncology Physician, NPI 1720059181
Radiation Oncology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
184 RADIATION ONCOLOGY in WA
Provider Addresses for RANDY D SORUM (M.D.)
3920 CAPITAL MALL DR SW STE 100B
OLYMPIA, WA 985028186
Phone: (360) 596-4872
Fax: (253) 627-8792
Type: Location
6509 B, Bridgeport Way West, Harvest Ridge, University Place, Pierce County, Washington, 98467, United States
UNIVERSITY PLACE, WA 984664335
Phone: (253) 779-6325
Fax: (253) 627-8792
Type: Mailing
230 NEBRASKA ST
SIOUX CITY, IA 511011733
Phone: (712) 252-9372
Fax: (712) 252-9327
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $636.
Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($74).
Total Amount
$636
General + Research + Ownership
Payments
37
Total payment records
General Amount
$636
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $74 |
| Amgen Inc. | $51 |
| Incyte Corporation | $32 |
| Seagen Inc. | $31 |
| Eisai Inc. | $30 |
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: 2024-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040701001092 | I | Radiation Oncology | WA | TBD |
| I20220111000913 | I | Radiation Oncology | SD | TBD |
| I20241116000147 | I | Radiation Oncology | IA | 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 98502)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
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