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DR. LAURA C RANDOLPH M.D.
NPI 1710906557
Plastic Surgery in Bloomington, IL

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
2502 E EMPIRE ST, SUITE C, BLOOMINGTON, IL 61704(309) 664-6222(309) 664-5006 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Laura C Randolph M.d. NPPES

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

DR. LAURA C RANDOLPH M.D. (NPI 1710906557) is an individual plastic surgery provider in Bloomington, Illinois, licensed in Illinois (36-100030) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1996).

NPPES Registry Identity

NPI1710906557
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. LAURA C RANDOLPHCredential: M.D.
Location Address2502 E EMPIRE ST, SUITE CBloomington, IL 61704-3738
Mailing Address2502 E Empire St, Suite CBloomington, IL 61704-3738 · (309) 664-6222 · Fax (309) 664-5006
Phone(309) 664-6222
Fax(309) 664-5006
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 12, 2013
✔ NPI 1710906557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IL · 36-100030
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2502 E EMPIRE ST, Bloomington, IL 61704
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Other Identifiers 7

Other5732066IL · Blue Cross Blue Shield
Medicare ID-Type Unspecified209832IL
Other097565IL · Health Alliance
Other686867IL · Health Link
OtherP00193845IL · Rural Medicare
Medicaid036100030IL
Medicare UPINI16646

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. Laura C 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 ID6608845722
PECOS Enrollment IDI20040928000104
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

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 17

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

JENNIFER DAWN SHELER APN
Nurse Practitioner (Family)
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 663-4368
LAURA C. RANDOLPH MD SC
Clinic/Center (Medical Specialty)
2502 E EMPIRE ST, SUITE C
BLOOMINGTON, IL 61704
McLean County (309) 664-6222
PAIGE C HOLT, MD, LTD
Plastic Surgery
2502 E EMPIRE ST, SUITE C
BLOOMINGTON, IL 61704
McLean County (309) 664-4444
MEGAN M WALLACE AU.D.
Audiologist
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 663-4368
BARRY JAY RISKIN MD
Psychiatry & Neurology (Neurology)
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 385-7010
DR. MARIANO VILLALON TOLENTINO JR. M.D.
Urology
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 661-3380
DR. DANIEL ADAM WOOLDRIDGE MD
Family Medicine
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 300-1031
DR. GEORGE STEPHEN IRWIN M.D.
Orthopaedic Surgery
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 663-6461

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 Laura Randolph's NPI number?

The NPI number for Laura Randolph is 1710906557. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Laura Randolph located?

Laura Randolph practices at 2502 E Empire St Suite C, Bloomington, IL 61704. The listed phone number is (309) 664-6222.

What is Laura Randolph's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Laura Randolph enrolled in Medicare?

Yes. Laura Randolph 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 Laura Randolph affiliated with any hospitals?

According to CMS data, Laura Randolph is affiliated with Carle Bromenn Medical Center and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Laura Randolph was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.