SPENCER LEE RANDAZZO DO
NPI 1780324392
Family Medicine in Greenfield, WI

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
6901 W EDGERTON AVE, GREENFIELD, WI 53220(414) 325-5244 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Spencer Lee Randazzo Do NPPES

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

SPENCER LEE RANDAZZO DO (NPI 1780324392) is an individual family medicine provider in Greenfield, Wisconsin, licensed in Wisconsin (81511-21) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2022).

NPPES Registry Identity

NPI1780324392
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSPENCER LEE RANDAZZOCredential: DO
Location Address6901 W EDGERTON AVEGreenfield, WI 53220-4420
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2022
Enumeration DateMarch 31, 2022
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
NPI 1780324392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 81511-21
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.

6901 W EDGERTON AVE, Greenfield, WI 53220

Other Identifiers 1

Medicaid100334654WI

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

Spencer Lee Randazzo 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 ID5092215301
PECOS Enrollment IDI20250821003348
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 53220 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Nurse Practitioner
6901 W EDGERTON AVE
MILWAUKEE, WI 53220
Nurse Practitioner
6901 W EDGERTON AVE
MILWAUKEE, WI 53220
Pharmacist
6901 W EDGERTON AVE
MILWAUKEE, WI 53220
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Nurse Practitioner (Acute Care)
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Family Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Pharmacist
6901 W EDGERTON AVE
MILWAUKEE, WI 53220
Family Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780324392, enumerated as an "individual" on March 31, 2022.

The provider is located at 6901 W EDGERTON AVE GREENFIELD, WI 53220 and the phone number is (414) 325-5244.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.