ANTHONY CASEY RANDOLPH
NPI 1033440516
Nurse Anesthetist, Certified Registered in Fort Worth, TX

Active since January 22, 2010Accepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 920-6864 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anthony Casey Randolph NPPES

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

ANTHONY CASEY RANDOLPH (NPI 1033440516) is an individual nurse anesthetist, certified registered in Fort Worth, Texas, licensed in Texas (723910) and active in the NPI registry since January 2010. He maintains a secondary practice location in Dallas and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033440516
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameANTHONY CASEY RANDOLPH
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1613 N. Harrison Parkway, Suite 200Sunrise, FL 33323-2853 · (954) 838-2371
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 22, 2010
Last NPPES UpdateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1033440516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 723910
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1500 S MAIN ST, Fort Worth, TX 76104

Secondary Practice Location 1

Location 112222 N Central Expy Ste 340Dallas, TX 75243-3755 · Phone (972) 972-4851 · Fax (972) 556-5202

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Casey Randolph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901931708
PECOS Enrollment IDI20100318000561

Medicare Billing Reassignments

10

Medicare enrollment records show Anthony Randolph reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 509 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
180 BEAR CREEK PKWY
Keller, TX 76248
  • Reassigned Medicare billing, Texas enrollment
  • 710 clinicians in this Medicare group
Anesthesiology
1403 DARTMOUTH DR
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 447 clinicians in this Medicare group
Anesthesiology
8330 STERLING ST
Irving, TX 75063
  • Reassigned Medicare billing, Texas enrollment
  • 121 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
149 W STATE HIGHWAY 121 STE 105
Coppell, TX 75019
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
12222 N CENTRAL EXPY
Dallas, TX 75243
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
Interventional Pain Medicine
12222 N CENTRAL EXPY STE 340
Dallas, TX 75243
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Konen & Associates, P.A.
  • 25 clinicians in this Medicare group
Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group
255 mi
Anesthesiology
1015 MEDICAL CENTER BLVD, STE. 1500
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
Anesthesiology
6700 W COUNTY ROAD 44
Midland, TX 79707
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
31 services31 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
26 services26 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%50 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104

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 Anthony Randolph's NPI number?

The NPI number for Anthony Randolph is 1033440516. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Anthony Randolph located?

Anthony Randolph practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 920-6864.

What is Anthony Randolph's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Anthony Randolph enrolled in Medicare?

Yes. Anthony Randolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anthony Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Randolph reassigns Medicare benefits to 10 organizations: Sound Physicians Anesthesiology Of Texas PLLC (Fort Worth, TX), Endo Sedation LLC (Keller, TX), Texas Anesthesia Partners, PLLC (Southlake, TX), Noble Anesthesia Partners, PLLC (Irving, TX), Covenant Anesthesia Management PLLC (Coppell, TX) and 5 more organizations, listed in the Medicare section above. Each 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 Anthony Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Randolph accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Anthony Randolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Randolph was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.