Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RANDY JOSEPH PASTOR DO
NPI 1710983465
Family Medicine in Jacksonville, AR

Q: What is Randy Pastor's NPI number?

The NPI number for Randy Pastor is 1710983465. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Randy Pastor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Pastor was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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 June 27, 2005PECOS Enrolled

1300 BRADEN ST, JACKSONVILLE, AR 72076(501) 985-5900(501) 985-6016 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Randy Joseph Pastor Do NPPES

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

RANDY JOSEPH PASTOR DO (NPI 1710983465) is an individual family medicine provider in Jacksonville, Arkansas, licensed in Arkansas (N7363) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (1986).

NPPES Registry Identity

NPI1710983465

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRANDY JOSEPH PASTORCredential: DO

Location Address1300 BRADEN STJacksonville, AR 72076-3719

Mailing AddressPo Box 309Jacksonville, AR 72078-0309 · (501) 985-5900 · Fax (501) 985-6016

Phone(501) 985-5900

Fax(501) 985-6016

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1986

Enumeration DateJune 27, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1710983465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · N7363

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1300 BRADEN ST, Jacksonville, AR 72076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Randy Joseph Pastor Do 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 ID4688658412

PECOS Enrollment IDI20040617000804

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72076 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier14 claims412 services$4.41 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims4,860 services$0.26 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$884.25 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier95 claims95 services$12.56 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier17 claims17 services$23.53 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.

MIRIAM GWENYTH MORSE MD

Family Medicine