GARY MILTON RANDALL D.O.
NPI 1194733733
Family Medicine in Mesa, AZ

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
4135 S POWER RD STE 120, MESA, AZ 85212(480) 892-7000(480) 545-7001 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Feb 17, 2021, Jul 15, 2019 and 1 more (4 updates tracked since 2019).

About Gary Milton Randall D.o. NPPES

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

GARY MILTON RANDALL D.O. (NPI 1194733733) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (006034) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Southlake, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1979).

NPPES Registry Identity

NPI1194733733
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY MILTON RANDALLCredential: D.O.
Location Address4135 S POWER RD STE 120Mesa, AZ 85212-3626
Mailing Address1250 S Clearview Ave, Ste 100Mesa, AZ 85209-3378 · (480) 988-9108 · Fax (480) 813-4460
Fax(480) 545-7001
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1979
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 17, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1194733733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 006034
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.
4135 S POWER RD STE 120, Mesa, AZ 85212

Secondary Practice Location 1

Location 1100 W SOUTHLAKE BLVD, STE 410SOUTHLAKE, TX 76092-6166 · Phone (817) 200-4421

Other Identifiers 2

Medicaid832035AZ
OtherZ160362AZ · Medicare 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

Gary Milton Randall D.o. 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 ID3678563723
PECOS Enrollment IDI20130909000719
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 18

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.

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.
194 services79 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
68 services46 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
64 services17 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.
60 services42 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
52 services52 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85212 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

Nurse Practitioner (Family)
4135 S POWER RD STE 120
MESA, AZ 85212
Psychiatry & Neurology (Neurology)
4135 S POWER RD STE 120
MESA, AZ 85212
Family Medicine
4135 S POWER RD STE 120
MESA, AZ 85212

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 Gary Randall's NPI number?

The NPI number for Gary Randall is 1194733733. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Gary Randall located?

Gary Randall practices at 4135 S Power Rd Ste 120, Mesa, AZ 85212. The listed phone number is (480) 892-7000.

What is Gary Randall's specialty?

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

Is Gary Randall enrolled in Medicare?

Yes. Gary Randall 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 Gary Randall accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Gary Randall 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 Gary Randall was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.