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DR. RANDALL M SILVER D.O.
NPI 1205827474
Family Medicine in San Luis Obispo, CA

Active since November 04, 2005PECOS Enrolled
96.5/100
CMS Quality Rating
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401(805) 543-4043(805) 543-7640 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, Dec 28, 2022 (2 updates tracked since 2022).

About Dr. Randall M Silver D.o. NPPES

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

DR. RANDALL M SILVER D.O. (NPI 1205827474) is an individual family medicine provider in San Luis Obispo, California, licensed in California (20A5848) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Luis Obispo.

NPPES Registry Identity

NPI1205827474
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDALL M SILVERCredential: D.O.
Location Address1250 PEACH ST STE BSan Luis Obispo, CA 93401-2869
Mailing Address1250 Peach St Ste BSan Luis Obispo, CA 93401-2869 · (805) 543-4043 · Fax (805) 543-7640
Phone(805) 543-4043
Fax(805) 543-7640
Sole ProprietorYes
Enumeration DateNovember 4, 2005
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1205827474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A5848
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.
1250 PEACH ST STE B, San Luis Obispo, CA 93401
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Secondary Practice Location 1

Location 135 Casa St, Suite 330San Luis Obispo, CA 93405-1818 · Phone (805) 788-0200 · Fax (805) 788-0300

Other Identifiers 2

Other5484078Aetna Pin
OtherZZZ56109YCA · Blue Shield Pin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randall M Silver D.o. 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 Reassignments

2

Medicare enrollment records show Randall Silver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First Choice Physician Partners
0.3 mi
Neurology
620 CALIFORNIA BLVD, STE J
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1437408119 (805) 547-2275
Med-Stops Medical Clinic, Inc.
2.0 mi
Emergency Care
283 MADONNA RD, SUITE B
San Luis Obispo, CA 93405
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1295718849 (805) 549-8880

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 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.

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.
548 services366 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.
409 services273 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
244 services244 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
67 services67 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
61 services61 patients
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.
56 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
71%675 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
52%1,574 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
49%298 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%5,117 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
11%1,680 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%842 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
70%3,544 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
43%2,145 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%3,544 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%3,544 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
48%3,544 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers28 claims28 services$34.29 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers19 claims114 services$19.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers29 claims29 services$56.97 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers21 claims21 services$20.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers35 claims210 services$2.44 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
6 suppliers19 claims19 services$12.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. GRACE CRITTENDEN MD
Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4043
DR. MARK STILPHEN MD
Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4043
JENNIFER POE NP
Nurse Practitioner (Adult Health)
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4043
ANJEET KAUR BASUTA SAINI M.D.
Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4043
CHELSEA CRAWFORD PA
Physician Assistant
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4043
PACIFIC CENTRAL COAST HEALTH CENTERS
Clinic/Center (Community Health)
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4043

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 Randall Silver's NPI number?

The NPI number for Randall Silver is 1205827474. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Randall Silver located?

Randall Silver practices at 1250 Peach St Ste B, San Luis Obispo, CA 93401. The listed phone number is (805) 543-4043.

What is Randall Silver's specialty?

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

Is Randall Silver enrolled in Medicare?

Yes. Randall Silver is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Randall Silver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Silver reassigns Medicare benefits to 2 organizations: First Choice Physician Partners (San Luis Obispo, CA) and Med-Stops Medical Clinic, Inc. (San Luis Obispo, CA). 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 Randall Silver'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 Randall Silver was last updated on November 3, 2023. 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.