COLLIN DOUGLAS RANDALL PA
NPI 1508477555
Physician Assistant - Medical in Seattle, WA

Active since August 13, 2020PECOS EnrolledAccepts Medicare Assignment
79.42/100
CMS Quality Rating
4311 11TH AVE NE STE 200, SEATTLE, WA 98105(206) 616-4001 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2021, Aug 13, 2020 (2 updates tracked since 2020).

About Collin Douglas Randall Pa NPPES

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

COLLIN DOUGLAS RANDALL PA (NPI 1508477555) is an individual medical provider in Seattle, Washington, licensed in Wyoming (PT961) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508477555
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCOLLIN DOUGLAS RANDALLCredential: PA
Location Address4311 11TH AVE NE STE 200Seattle, WA 98105-6367
Mailing Address4311 11th Ave Ne Ste 200Seattle, WA 98105-6367
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 13, 2020
Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
NPI 1508477555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WY · PT961
4311 11TH AVE NE STE 200, Seattle, WA 98105

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

Collin Douglas Randall 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 ID6305237892
PECOS Enrollment IDI20211216001423
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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
341 services143 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.
106 services103 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
80 services77 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
60 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Sagewest Health Care

Acute Care Hospitals · Riverton, WY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number530008
Location2100 W Sunset DrRiverton, WY 82501 · Fremont County
Emergency services

Wyoming Medical Center

Acute Care Hospitals · Casper, WY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530012
Location1233 East 2nd StCasper, WY 82601 · Natrona County
Emergency services Birthing friendly

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.

79.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost31.42

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.

Physician Assistant (Medical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant (Surgical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105

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 Collin Randall's NPI number?

The NPI number for Collin Randall is 1508477555. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Collin Randall located?

Collin Randall practices at 4311 11th Ave NE Ste 200, Seattle, WA 98105. The listed phone number is (206) 616-4001.

What is Collin Randall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Collin Randall enrolled in Medicare?

Yes. Collin 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.

Is Collin Randall affiliated with any hospitals?

According to CMS data, Collin Randall is affiliated with Sagewest Health Care and Wyoming Medical Center.

When was this NPI record last updated?

The NPPES record for Collin Randall was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.