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DR. RANDALL LOUIS MCKISSACK M.D.
NPI 1487639621
Surgery in Fort Walton Beach, FL

Active since December 09, 2005PECOS EnrolledAccepts Medicare Assignment
54.65/100
CMS Quality Rating
999 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-8269(850) 862-7965 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2020, Jun 12, 2019, Jan 5, 2017 (3 updates tracked since 2017).

About Dr. Randall Louis Mckissack M.d. NPPES

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

DR. RANDALL LOUIS MCKISSACK M.D. (NPI 1487639621) is an individual surgery provider in Fort Walton Beach, Florida, licensed in Florida (ME96715) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Twin Cities Hospital, and is a graduate of University Of Alabama School Of Medicine (1986).

NPPES Registry Identity

NPI1487639621
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RANDALL LOUIS MCKISSACKCredential: M.D.
Location Address999 MAR WALT DRFort Walton Beach, FL 32547-6758
Mailing Address1005 Mar Walt DriveFort Walton Beach, FL 32547-6707 · (850) 863-8269 · Fax (850) 862-7965
Phone(850) 863-8269
Fax(850) 862-7965
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1986
Enumeration DateDecember 9, 2005
Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1487639621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME96715
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.
999 MAR WALT DR, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Other Identifiers 1

Medicaid277632400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. Randall Louis Mckissack 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 ID3476595364
PECOS Enrollment IDI20061114000035
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 5

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 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.
84 services61 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
50 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 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.
37 services37 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.
32 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

54.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.69
Promoting Interoperability0
Improvement Activities40
Cost63.47

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.

DR. SHAWN GERARD HUGHES D.O.
Anesthesiology (Pain Medicine)
999 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8182
PHYSIATRY PAIN MANAGEMENT, P.A
Specialist
999 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-2912
WHITE-WILSON ASSOCIATION, P.A.
Clinic/Center (Multi-Specialty)
999 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8150

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 Mckissack's NPI number?

The NPI number for Randall Mckissack is 1487639621. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Randall Mckissack located?

Randall Mckissack practices at 999 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-8269.

What is Randall Mckissack's specialty?

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

Is Randall Mckissack enrolled in Medicare?

Yes. Randall Mckissack 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 Mckissack accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Randall Mckissack 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 Mckissack affiliated with any hospitals?

According to CMS data, Randall Mckissack is affiliated with Hca Florida Twin Cities Hospital and Hca Florida Fort Walton-Destin Hospital.

When was this NPI record last updated?

The NPPES record for Randall Mckissack was last updated on November 12, 2020. 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.