CHARLES RANDALL M.D.
NPI 1881699668
Internal Medicine - Pulmonary Disease in Newburyport, MA

NPI Status: Active since June 17, 2005

Contact Information

260 MERRIMAC ST
NEWBURYPORT, MA
ZIP 01950
Phone: (978) 499-7200
Fax: (978) 499-7216

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  • Individual
  • Male
  • Internal Medicine
  • Pulmonary Disease
  • Medicare Quality Reporting

About CHARLES RANDALL

This page provides the complete NPI Profile along with additional information for Charles Randall, an internist established in Newburyport, Massachusetts with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1881699668 assigned on June 2005. The practitioner's primary taxonomy code is 207RP1001X with license number 54597 (MA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1881699668
Provider Name
CHARLES RANDALL M.D.
Gender
Male
Entity Type
Individual
Location Address
260 MERRIMAC ST NEWBURYPORT, MA 01950
Location Phone
(978) 499-7200
Location Fax
(978) 499-7216
Mailing Address
260 MERRIMAC ST NEWBURYPORT, MA 01950
Mailing Phone
(978) 499-7200
Mailing Fax
(978) 499-7216
Is Sole Proprietor?
No
Enumeration Date
06-17-2005
Last Update Date
06-18-2014
Code Navigator

An internist like Charles Randall is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
54597
License State
MA
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

54597 (MA)

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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
J07241OTHER (01)MABLUE CROSS BLUE SHIELD
J0724101MEDICARE PIN (08)MA 
0014413OTHER (01)CIGNA
054597OTHER (01)MATUFTS HEALTH PLAN
110045489AMEDICAID (05)MA 
60720OTHER (01)MAHARVARD PILGRIM HEALTHCAR
974558OTHER (01)MANETWORK HEALTH
48-00612OTHER (01)MAEVERCARE
A59300MEDICARE UPIN (02)MA 
A59300OTHER (01)NHANTHEM BLUE CROSS

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Electronic submission of Patient Centered Medical Home accreditationYesN/A
I attest that I am a Patient Centered Medical Home (PCMH) or Comparable Specialty Practice that has achieved certification from a national program, regional or state program, private payer, or other body that administers patient-centered medical home accreditation and should receive full credit for the Improvement Activities performance category.
e-Prescribing 96% 5415
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 13% 120
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 91% 3029
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 55% 2995
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 72% 2995
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 33% 2995
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

Reviews for CHARLES RANDALL M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1881699668, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 1 + 2 + 9 + 1 + 8 + 6 + 1 + 2 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1881699668.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Anesthesiology
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Internal Medicine (Allergy & Immunology)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Nurse Practitioner (Family)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Nurse Practitioner (Adult Health)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Nurse Practitioner (Family)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Clinic/Center
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Internal Medicine
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Internal Medicine (Clinical Cardiac Electrophysiology)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Internal Medicine
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Chiropractor
260 MERRIMAC ST, TOWLE BLDG-COLONIAL WING
NEWBURYPORT, MA 01950
Physician Assistant
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Nurse Practitioner
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Internal Medicine (Nephrology)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Nurse Practitioner (Family)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Internal Medicine
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Physician Assistant (Medical)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Family Medicine
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Social Worker (Clinical)
260 MERRIMAC ST
NEWBURYPORT, MA 01950
Internal Medicine
260 MERRIMAC ST
NEWBURYPORT, MA 01950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881699668, enumerated as an "individual" on June 17, 2005.

The provider is located at 260 MERRIMAC ST NEWBURYPORT, MA 01950 and the phone number is (978) 499-7200.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Cigna,. Please consult your insurance carrier or call the provider to verify.