MR. RANDAL E WILLIAMS P.A.-C
NPI 1811966385
Physician Assistant - Medical in Castle Rock, CO


Quality Rating: 100 out of 100 score

NPI Status: Active since March 16, 2006

Contact Information

1001 S PERRY ST
SUITE: 101B
CASTLE ROCK, CO
ZIP 80104
Phone: (303) 688-2228
Fax: (303) 663-0640

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  • Individual
  • Male
  • Years of Experience 25
  • Physician Assistant
  • Medical
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About RANDAL WILLIAMS

Randal Williams is a primary care provider established in Castle Rock, Colorado and his medical specialization is Physician Assistant with a focus in medical with more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1811966385 assigned on March 2006. The practitioner's primary taxonomy code is 363AM0700X with license number PA.0001279 (CO). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1811966385
Provider Name
MR. RANDAL E WILLIAMS P.A.-C
Gender
Male
Entity Type
Individual
Location Address
1001 S PERRY ST SUITE: 101B CASTLE ROCK, CO 80104
Location Phone
(303) 688-2228
Location Fax
(303) 663-0640
Mailing Address
1001 S PERRY ST SUITE: 101B CASTLE ROCK, CO 80104
Mailing Phone
(303) 688-2228
Mailing Fax
(303) 663-0640
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
03-16-2006
Last Update Date
04-24-2014
Code Navigator

A primary care provider (PCP) like Randal Williams sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Randal Williams is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA.0001279
License State
CO

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

15-00965 (KS)
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA2010-0073 (NM)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Mountain Health CO-OP

    • Connect Bronze Expanded - PPO
    • Connect Bronze Expanded Standard - PPO
    • Connect Bronze HDHP - PPO
    • Connect Catastrophic - PPO
    • Connect Gold - PPO
    • Connect Gold Standard - PPO
    • Connect Silver - PPO
    • Connect Silver Option 2 - PPO
    • Connect Silver Standard - PPO
    • High Plains Bronze HDHP - PPO
    • High Plains Bronze Standard Expanded - PPO
    • High Plains Gold - PPO
    • High Plains Gold HDHP - PPO
    • High Plains Gold Standard - PPO
    • High Plains Silver - PPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
71577289MEDICAID (05)NM 
95256237MEDICAID (05)CO 
200362810AMEDICAID (05)KS 

PECOS Enrollment and Medicare Participation Status

Randal Williams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6507804846

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050419000149

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 19

    Automated urinalysis test (HCPCS:81003)

  • 11

    X-ray of chest, 2 views (HCPCS:71046)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Randal Williams is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UCHEALTH HIGHLANDS RANCH HOSPITAL1500 PARK CENTRAL DR
HIGHLANDS RANCH, CO 80129
(720) 516-1000Acute Care Hospitals

Reviews for MR. RANDAL E WILLIAMS P.A.-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811966385
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
282118612316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 8 + 6 + 1 + 2 + 3 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1811966385 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932187804 RITA E THIEME M.D.
Individual
Pediatrics (Adolescent Medicine)1001 S PERRY ST SUITE 101B
CASTLE ROCK, CO 80104
(303) 688-2228
1134245863CASTLE ROCK DENTAL GROUP, P.C.
Organization
Dentist (General Practice)1001 S PERRY ST SUITE 104A
CASTLE ROCK, CO 80104
(303) 663-6030
1922326610 JACOB HUGH PERRY
Individual
Physician Assistant1001 S PERRY ST SUITE 101B
CASTLE ROCK, CO 80104
(303) 688-2228
1346638020MRS. ANNA LISABETH MOLES P.A.
Individual
Physician Assistant1001 S PERRY ST STE. 101B
CASTLE ROCK, CO 80104
(303) 688-2228
1568784171MRS. PAIGE KILOHIWAI SCHULTZ LCSW
Individual
Social Worker (Clinical)1001 S PERRY ST SUITE 113
CASTLE ROCK, CO 80104
(720) 660-5877
1659562437 CURTIS RASHAAN FORD M.D.
Individual
Pediatrics (Child Abuse Pediatrics)1001 S PERRY ST #101B
CASTLE ROCK, CO 80104
(303) 688-2228
1649286881DR. WILLIAM YUNZHOU CHU M.D.
Individual
Pediatrics1001 S PERRY ST SUITE 101B
CASTLE ROCK, CO 80104
(303) 688-2228
1689167603INNER BALANCE COUNSELING SERVICES, LLC
Organization
Counselor (Professional)1001 S PERRY ST
CASTLE ROCK, CO 80104
(720) 485-3178
1164063541 MICHAEL D. STOWELL
Individual
Physician Assistant1001 S PERRY ST
CASTLE ROCK, CO 80104
(303) 688-2228
1548289614CASTLE ROCK PEDIATRICS PLLC
Organization
Clinic/Center (Primary Care)1001 S PERRY ST STE 101B
CASTLE ROCK, CO 80104
(303) 688-2228
1982291514 MICHAEL E DOBAT LMT
Individual
Massage Therapist1001 S PERRY ST
CASTLE ROCK, CO 80104
(719) 429-0148
1396273033DR. KELSY RAYL PT, DPT
Individual
Physical Therapist1001 S PERRY ST
CASTLE ROCK, CO 80104
(720) 463-4752

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811966385, enumerated in the NPI registry as an "individual" on March 16, 2006

The provider is located at 1001 S Perry St Suite: 101b Castle Rock, Co 80104 and the phone number is (303) 688-2228

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 25 years of experience.

The provider might be accepting Accepts: Mountain Health CO-OP, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Automated urinalysis test and X-ray of chest, 2 views.

The practitioner is affiliated to the following hospital(s): UCHEALTH HIGHLANDS RANCH HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.