Active NPI 1487639621 Individual Practitioner Male Practitioner

Dr. Randall Louis Mckissack , MD

Surgery • Fort Walton Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Randall Mckissack, MD is a certified Surgery practicing in Fort Walton Beach, FL. With approximately 40 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1986, Dr. Mckissack delivers high-quality medical care to the local community at 999 MAR WALT DR.

Dr. Mckissack is affiliated with White-Wilson Medical Center Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of gallbladder with x-ray study of bile ducts using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

999 Mar Walt Dr

Fort Walton Beach, FL 325476758

Telephone 8508638269

Fax 8508627965

Associated Practice Facility / Clinic

🏢 Physiatry Pain Management, P.a Facility NPI 1720009046

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Walton Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Fort Walton Beach, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mckissack (40 Years) 40 Yrs

Fort Walton Beach Specialty Average (28.3 Years) 28.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	61	$184.00	$88.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	46	$115.00	$53.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$230.00	$108.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$341.00	$163.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$260.00	$124.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	72	$175.74	$85.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$226.44	$107.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$331.42	$161.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$252.00	$125.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$92.90	$55.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	47	$89.00	$56.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$210.00	$111.85
99213 Established patient office or other outpatient visit, typically 15 minutes	50	35	$147.00	$88.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$315.00	$167.48
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$147.00	$72.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	38	$89.00	$56.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$210.00	$114.37
99213 Established patient office or other outpatient visit, typically 15 minutes	38	29	$147.00	$92.63
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$147.00	$74.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$315.00	$171.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	52	$89.00	$45.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$210.00	$109.21
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$147.00	$76.73
99213 Established patient office or other outpatient visit, typically 15 minutes	30	22	$147.00	$75.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$459.63	$249.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$210.00	$108.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$89.00	$44.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	44	$120.00	$37.10
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$311.00	$96.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	16	$219.00	$68.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	11	$131.00	$40.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	53	$120.00	$37.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$418.00	$133.25
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$311.00	$99.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	24	$131.00	$41.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$327.00	$104.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$219.00	$69.94
47562 Removal of gallbladder using an endoscope	13	13	$2106.00	$664.40
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$225.00	$71.67

Medical Specialties & State Licenses

CMS Verified: 2020-11-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME96715

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

277632400 (FL)

Hospital & Practice Group Affiliations

White-Wilson Medical Center Pa

999 Mar Walt Dr, Fort Walton Beach, FL 325476758

Phone: 8508638100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. John Dali , MD

Surgery

NPI 1023083177

Doctor of Medicine (M.D.)

Dr. Robert Rogers , MD

Surgery

NPI 1073598983

Doctor of Medicine (M.D.)

Dr. David Burkland , MD

Surgery

NPI 1467437616

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address November 12, 2020

Registered at 1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 325476707 (Tel: 8508638269)

📍

Updated Practice Location June 12, 2019

Registered at 999 MAR WALT DR, FORT WALTON BEACH, FL 325476758 (Tel: 8508638269)

✅

NPI Profile Active January 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2017

Registered at 801 E. 6TH STREET, SUITE 602, PANAMA CITY, FL 324013663 (Tel: 8509136960)

📍

Updated Business Mailing Address January 05, 2017

Registered at 801 E. 6TH STREET, SUITE 602, PANAMA CITY, FL 324013663 (Tel: 8509136960)

👤

Provider Name / Credentials Updated January 05, 2017

Recorded as RANDALL MCKISSACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2017

Surgery (License #ME96715 in FL)

🟢

Initial NPI Registration & Enumeration December 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Randall Mckissack. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487639621

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 09, 2005

Last Update: November 12, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1005 Mar Walt Drive

Fort Walton Beach, FL 325476707

Phone: 8508638269

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.