Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164497830 Individual Practitioner Male Practitioner

Dr. Joseph Justis Randolph , MD

Emergency Medicine • St Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Randolph, MD is a registered healthcare professional specializing in Emergency Medicine in St Cloud, MN. Practice services are available at 1406 6TH AVE N under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1406 6th Ave N

St Cloud, MN 563031901

Telephone 3202555657
Fax 3206567194
Associated Practice Facility / Clinic
🏢 St Cloud Pathologists Pa Facility NPI 1396717633

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in St Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
11 Specialists

Practicing in St Cloud, MN (1376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
40 40 $975.00 $164.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
34 31 $64.00 $7.81
99284 Emergency department visit with moderate level of medical decision making
11 11 $613.00 $113.63

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MN 42563

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License WA MD60181938

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1164497830 (WA)

Practice Associates & Co-Workers

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

14 Associated Practitioners
Stephen Bologna

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1053383026
Dr. Daniel Fark , MD

Emergency Medicine

NPI 1144293945

Doctor of Medicine (M.D.)

Dr. Michael Butts , MD

Emergency Medicine

NPI 1235102039

Doctor of Medicine (M.D.)

Dr. Anthony Haas , MD

Emergency Medicine

NPI 1326011933

Doctor of Medicine (M.D.)

Dr. John Mertz , MD PHD

Emergency Medicine

NPI 1346217874

MDPHD

Stacy Schmitz-Jansky , PA-C

Physician Assistant

NPI 1386619633

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2011

Registered at 1406 6TH AVE N, ST CLOUD, MN 563031901 (Tel: 3202555657)

📍
Updated Business Mailing Address February 17, 2011

Registered at 1406 6TH AVE N, SAINT CLOUD, MN 563031900 (Tel: 3202555657)

👤
Provider Name / Credentials Updated February 17, 2011

Recorded as JOSEPH RANDOLPH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2011

Emergency Medicine (License #42563 in MN)

🟢
Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164497830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2006
Last Update: February 17, 2011
Sole Proprietor: No

Mailing Address

1406 6th Ave N

Saint Cloud, MN 563031900

Phone: 3202555657

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.