DR. JOHN D RANDOLPH M.D.
NPI 1629065636
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Oklahoma City, OK

Q: What is John Randolph's NPI number?

The NPI number for John Randolph is 1629065636. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is John Randolph's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for John Randolph was last updated on June 6, 2022. 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.

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment

99.15/100

CMS Quality Rating

4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120(405) 608-3800(405) 608-3830 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2022, Nov 6, 2020, Sep 14, 2020 and 3 more (6 updates tracked since 2015).

On this page

About Dr. John D Randolph M.d. NPPES

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

DR. JOHN D RANDOLPH M.D. (NPI 1629065636) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Oklahoma City, Oklahoma, licensed in Oklahoma (13800) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1981).

NPPES Registry Identity

NPI1629065636

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. JOHN D RANDOLPHCredential: M.D.

Location Address4050 W MEMORIAL RD FL 3Oklahoma City, OK 73120-8382

Mailing Address7800 Nw 85th TerOklahoma City, OK 73132-3385

Phone(405) 608-3800

Fax(405) 608-3830

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1981

Enumeration DateOctober 4, 2005

Last NPPES UpdateJune 6, 20226 updates tracked since enumeration

NPPES CertifiedJune 6, 2022

✔ NPI 1629065636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in OK · 13800

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License 13800 (OK)

4050 W MEMORIAL RD FL 3, Oklahoma City, OK 73120

Open in Google Maps ↗

Other Identifiers 2

Other330004147OK · Railroad Medicare

Medicaid100824280BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John D Randolph 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 ID6305737198

PECOS Enrollment IDI20060614000174

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 Reassignment

Medicare enrollment records show John Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohh Physicians, LLC

Same address

Cardiovascular Disease

4050 W MEMORIAL RD
Oklahoma City, OK 73120

Reassigned Medicare billing, Oklahoma enrollment
125 clinicians in this Medicare group

NPI 1023087772 (405) 608-3800

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 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 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.

245 services191 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

144 services143 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

142 services142 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.

124 services106 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

108 services94 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.

102 services102 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.

67 services67 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

64 services64 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

60 services46 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

57 services57 patients

Coronary artery bypass using vein or artery graft, 3 grafts 33519

A coronary artery bypass with 3 grafts is a surgery to improve blood flow to the heart. Veins or arteries from other parts of your body are used to bypass blocked coronary arteries. This helps to restore normal blood flow to the heart, reducing the risk of heart disease.

35 services35 patients

Coronary artery bypass using vein or artery graft, 1 graft 33517

A coronary artery bypass is a surgical procedure that improves blood flow to the heart. A vein or artery from another part of your body is used to create a new route for blood to bypass a blocked coronary artery. This helps relieve chest pain and reduce heart attack risk.

33 services33 patients

Partial destruction and reconstruction of right upper heart chamber 33257

This procedure involves partially destroying and rebuilding the right upper chamber of your heart. It's done to correct irregular heart rhythms or other issues. It's a complex operation performed by expert heart surgeons to improve your heart's function.

24 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

19 services19 patients

Removal of blood clot and portion of chest, neck, or brain artery 35301

This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.

14 services14 patients

Removal of lobe of lung 32480

Lung lobectomy is a surgery where a portion (lobe) of the lung is removed due to conditions like cancer or infection. It helps improve breathing and overall health. Post-surgery, you may need rehabilitation to regain lung function.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370026

Location305 South 5th StreetEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370047

Location1011 14th Ave NWArdmore, OK 73401 · Carter County

Emergency services Birthing friendly

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370049

Location1323 West 6th StreetStillwater, OK 74076 · Payne County

Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipPhysician

CMS Certification Number370215

Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370234

Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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

$162.61 typical visit price

range $53.00 – $162.61

Typical copayment $40.65 (range $13.25 – $40.65)

Most-billed visit code 99205

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

99.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers19 claims19 services$175.01 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 20

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

VARUN KHANNA M.D.

Internal Medicine (Cardiovascular Disease)