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DR. MICHAEL SHANE RANDOLPH MD
NPI 1023111010
Family Medicine in Somerset, KY

Active since September 06, 2006PECOS Enrolled
104 HARDIN LN, SOMERSET, KY 42503(606) 676-0786 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Shane Randolph Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL SHANE RANDOLPH MD (NPI 1023111010) is an individual family medicine provider in Somerset, Kentucky, licensed in Kentucky (33885) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023111010
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL SHANE RANDOLPHCredential: MD
Location Address104 HARDIN LNSomerset, KY 42503-3800
Mailing Address3750 Ky Hwy 2141Stanford, KY 40484
Phone(606) 676-0786
Sole ProprietorYes
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023111010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 33885
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
104 HARDIN LN, Somerset, KY 42503
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Other Identifiers 1

Medicare UPING78594

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Shane Randolph Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ephraim Mcdowell Health Resource, Inc.
0.2 mi
Family
95 BOGLE OFFICE PARK DR
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
NPI 1528911609 (606) 677-1451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEART CENTER OF SOMERSET PLLC
Internal Medicine (Cardiovascular Disease)
104 HARDIN LN, SUITE B
SOMERSET, KY 42503
Pulaski County (606) 677-1112
BECKY B SWANN RNBSN
Registered Nurse (Case Management)
104 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 676-0786
MR. IVAN RAY WEIR LCSW
Social Worker (Clinical)
104 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 676-0786
ROBERT T PICARD PA-C
Physician Assistant (Medical)
104 HARDIN LN, STE # A
SOMERSET, KY 42503
Pulaski County (606) 678-8323
P D PATEL MD PSC
Psychiatry & Neurology (Neurology)
104 HARDIN LN, SUITE#A
SOMERSET, KY 42503
Pulaski County (606) 678-8323
MRS. CAROL PRICE APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
104 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 678-8323
IBRAIZ IQBAL MD
Internal Medicine (Interventional Cardiology)
104 HARDIN LN, SUITE B
SOMERSET, KY 42503
Pulaski County (606) 677-1112
FEEL THE BURN CARDIAC REHAB
Internal Medicine (Cardiovascular Disease)
104 HARDIN LN, SUITE B
SOMERSET, KY 42503
Pulaski County (606) 677-1112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Randolph's NPI number?

The NPI number for Michael Randolph is 1023111010. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Michael Randolph located?

Michael Randolph practices at 104 Hardin Ln, Somerset, KY 42503. The listed phone number is (606) 676-0786.

What is Michael Randolph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Randolph enrolled in Medicare?

Yes. Michael Randolph is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Randolph reassigns Medicare benefits to Ephraim Mcdowell Health Resource, Inc. (Somerset, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Randolph was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.