DR. RANDY J KJORSTAD M.D.
NPI 1043283336
Surgery in Redmond, OR

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1315 NW 4TH ST STE A, REDMOND, OR 97756(541) 548-7761(541) 598-3485 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randy J Kjorstad M.d. NPPES

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

DR. RANDY J KJORSTAD M.D. (NPI 1043283336) is an individual surgery provider in Redmond, Oregon, licensed in Wyoming (9756A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1043283336
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RANDY J KJORSTADCredential: M.D.
Location Address1315 NW 4TH ST STE ARedmond, OR 97756-1328
Mailing AddressPo Box 428Jackson, WY 83001-0428 · (307) 739-7690 · Fax (307) 739-7644
Fax(541) 598-3485
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2003
Enumeration DateFebruary 8, 2006
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
NPI 1043283336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in WY · 9756A Licensed in ID · M-9325 Licensed in MT · 12855
Definition

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.

1315 NW 4TH ST STE A, Redmond, OR 97756

Secondary Practice Location 1

Location 1555 E Broadway Ave, Suite 229Jackson, WY 83001-8640 · Phone (307) 739-7690 · Fax (307) 739-7644

Other Identifiers 1

OtherW26189WY · Sjmc Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Randy J Kjorstad M.d. 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 ID6002003639
PECOS Enrollment IDI20230906003016
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.

Areas of Expertise CMS Part B claims 10

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
40 services40 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
30 services30 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
30 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381313
Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756
Colon & Rectal Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756
Physician Assistant (Medical)
1315 NW 4TH ST STE A
REDMOND, OR 97756
Physician Assistant (Surgical)
1315 NW 4TH ST STE A
REDMOND, OR 97756
Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756
Physician Assistant (Surgical)
1315 NW 4TH ST STE A
REDMOND, OR 97756
Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756
Physician Assistant
1315 NW 4TH ST STE A
REDMOND, OR 97756

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 Randy Kjorstad's NPI number?

The NPI number for Randy Kjorstad is 1043283336. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Randy Kjorstad located?

Randy Kjorstad practices at 1315 NW 4th St Ste A, Redmond, OR 97756. The listed phone number is (541) 548-7761.

What is Randy Kjorstad's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Randy Kjorstad enrolled in Medicare?

Yes. Randy Kjorstad 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.

What insurance does Randy Kjorstad accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica, Providence Health Plan and UnitedHealthcare list Randy Kjorstad 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.

Is Randy Kjorstad affiliated with any hospitals?

According to CMS data, Randy Kjorstad is affiliated with St Charles Medical Center - Bend and St Charles Medical Center Prineville.

When was this NPI record last updated?

The NPPES record for Randy Kjorstad was last updated on October 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.