BONNIE L. RANDOLPH (MD) – Family Medicine Physician, NPI 1427153873

BONNIE L. RANDOLPH (MD) is a healthcare provider. based in Torrington, Wyoming. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 5437A (WY). The NPI Number for BONNIE L. RANDOLPH (MD) is 1427153873

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE L. RANDOLPH (MD)
NPI
1427153873
Phone
(307) 532-2107
Address
625 ALBANY AVENUE
Enumeration Date
13 September 2006
Last Update Date
6 January 2011

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
3075322107
Graduation Year
1993 (33 years ago)
PAC ID
9436178241
Group Practice PAC ID
6608784194
Professional Enrollment ID
I20140313001017
Address ID
WY822401530TO625XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

328 FAMILY PRACTICE in WY

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Provider Addresses for BONNIE L. RANDOLPH (MD)

  • 625, Albany Avenue, Torrington, Goshen County, Wyoming, 82240, United States

    TORRINGTON, WY 82240

    Phone: (307) 532-2107

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-03-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051121000957IFamily PracticeWYTBD
I20140313001017IFamily PracticeNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9660$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6844$0
99239Hospital discharge day management, more than 30 minutes5148$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4443$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th3614$0
View full utilization report →

Insurance plans in this area (ZIP 82240)

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Provider's Procedures

BONNIE L. RANDOLPH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWY90670Pneumococcal vaccine for injection into muscle4848

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: 6608784194View full group profile
NameSpecialtyState
Mental Health CounselorWY
-WY
Nurse PractitionerWY
-WY
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)NE
Nurse PractitionerWY
Clinical Social WorkerWY
-UT
-CA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BONNIE L. RANDOLPH (MD)?
BONNIE L. RANDOLPH (MD) — NPI 1427153873 — is the standard way to identify this listing.
Does CMS list BONNIE L. RANDOLPH (MD) as active?
Yes — BONNIE L. RANDOLPH (MD) is active in the NPI listing used on this page.
What is BONNIE L. RANDOLPH (MD)'s specialty?
The listing groups BONNIE L. RANDOLPH (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does BONNIE L. RANDOLPH (MD) serve?
BONNIE L. RANDOLPH (MD)'s listing highlights Torrington, Wyoming; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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