Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982679171 Individual Practitioner Male Practitioner

Dr. Kelly Randall , MD

Specialist • Fremont, OH

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Randall, MD is a registered healthcare professional specializing in Specialist in Fremont, OH. Practice services are available at 605 3RD AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, methylprednisolone acetate, 80 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

605 3rd Ave
Suite F

Fremont, OH 434203269

Telephone 4193327311
Fax 4193328552
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fremont, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Fremont, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.4% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
87 57 $144.00 $67.42
J1040 Injection, methylprednisolone acetate, 80 mg
55 39 $16.00 $12.55
20610 Aspiration and/or injection of fluid from large joint
52 37 $140.65 $57.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 23 $180.00 $100.72

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35-04-5927-R

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0491052 (OH)
Commercial Insurance / Payer ID Neic
3413682771923 (OH)
Commercial Insurance / Payer ID Railroad Medicare
200001447 (OH)
Commercial Insurance / Payer ID Workers' Comp
341368277-00 (OH)
Commercial Insurance / Payer ID Anthem Cmic-Tiffin
000000131064 (OH)
Commercial Insurance / Payer ID Anthem Cmic-Fremont
000000350046 (OH)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. James Williams , MD, PhD

Otolaryngology - Otolaryngic Allergy

NPI 1235127606

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Muhamid Asif , ND

Family Medicine

NPI 1265093363

Doctor of Naturopathic Medicine

Jason Lalone , FNP

Nurse Practitioner

NPI 1306340617

Family Nurse Practitioner

Dr. John Mauric , DO

Family Medicine

NPI 1891731659

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2013

Registered at 605 3RD AVE, SUITE F, FREMONT, OH 434203269 (Tel: 4193327311)

📍
Updated Business Mailing Address March 21, 2013

Registered at 605 3RD AVE, SUITE F, FREMONT, OH 434203269 (Tel: 4193327311)

👤
Provider Name / Credentials Updated March 21, 2013

Recorded as KELLY RANDALL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

Specialist (License #35-04-5927-R in OH)

🟢
Initial NPI Registration & Enumeration February 21, 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: 1982679171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2006
Last Update: March 21, 2013
Sole Proprietor: No

Mailing Address

605 3rd Ave, Suite F

Fremont, OH 434203269

Phone: 4193327311

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.