RANDALL L SIMONSEN MD PA
NPI 1235261082
Pathology - Anatomic Pathology & Clinical Pathology in Kingsville, TX

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment
1311 GENERAL CAVAZOS BLVD, KINGSVILLE, TX 78363(361) 595-1661 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall L Simonsen Md Pa NPPES

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

RANDALL L SIMONSEN MD PA (NPI 1235261082) is an individual anatomic pathology & clinical pathology provider in Kingsville, Texas, licensed in Texas (H8840) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and is a graduate of University Of Pittsburgh School Of Medicine (1979).

NPPES Registry Identity

NPI1235261082
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRANDALL L SIMONSENCredential: MD PA
Location Address1311 GENERAL CAVAZOS BLVDKingsville, TX 78363-7129
Mailing Address15210 Cartagena CtCorpus Christi, TX 78418-6914 · (361) 779-8813 · Fax (361) 595-9895
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1979
Enumeration DateMarch 9, 2007
Last NPPES UpdateOctober 18, 2012
NPI 1235261082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in TX · H8840
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1311 GENERAL CAVAZOS BLVD, Kingsville, TX 78363

Other Identifiers 3

Medicare UPINE51605TX
Medicare ID-Type UnspecifiedP000U07W0
Medicaid00U07WTX

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

Randall L Simonsen Md Pa 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 ID4688604697
PECOS Enrollment IDI20050819000122
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 3

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
78 services41 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
37 services21 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
37 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Christus Spohn Hospital Beeville

Acute Care Hospitals · Beeville, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450082
Location1500 E Houston HwyBeeville, TX 78102 · Bee County
Emergency services Birthing friendly

Christus Spohn Hospital Kleberg

Acute Care Hospitals · Kingsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450163
Location1311 General Cavazos BlvdKingsville, TX 78363 · Kleberg County
Emergency services Birthing friendly

Christus Spohn Hospital Alice

Acute Care Hospitals · Alice, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450828
Location2500 E Main StreetAlice, TX 78332 · Jim Wells County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78363 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
1311 GENERAL CAVAZOS BLVD, LAB - CHRISTUS SPOHN HOSPITAL KLEBERG
KINGSVILLE, TX 78363
Anesthesiology
1311 GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363
Anesthesiology
1311 GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363
Emergency Medicine
1311 GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363
Obstetrics & Gynecology
1311 GENERAL CAVAZOS BLVD, SUITE 302
KINGSVILLE, TX 78363
Emergency Medicine
1311 GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363
Emergency Medicine
1311 GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363
Pediatrics
1311 GENERAL CAVAZOS BLVD, SUITE A
KINGSVILLE, TX 78363

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 Simonsen's NPI number?

The NPI number for Randall Simonsen is 1235261082. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Randall Simonsen located?

Randall Simonsen practices at 1311 General Cavazos Blvd, Kingsville, TX 78363. The listed phone number is (361) 595-1661.

What is Randall Simonsen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Randall Simonsen enrolled in Medicare?

Yes. Randall Simonsen 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 Randall Simonsen accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Randall Simonsen 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 Randall Simonsen affiliated with any hospitals?

According to CMS data, Randall Simonsen is affiliated with Christus Spohn Hospital Corpus Christi, Christus Spohn Hospital Beeville, Christus Spohn Hospital Kleberg and Christus Spohn Hospital Alice.

When was this NPI record last updated?

The NPPES record for Randall Simonsen was last updated on October 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.