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DR. RANDALL NESOM MD
NPI 1912509456
Urology in Oklahoma City, OK

Active since November 10, 2020PECOS Enrolled
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(580) 483-5302 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 4, 2024, Nov 10, 2020 (2 updates tracked since 2020).

About Dr. Randall Nesom Md NPPES

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

DR. RANDALL NESOM MD (NPI 1912509456) is an individual urology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (43413) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912509456
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. RANDALL NESOMCredential: MD
Location Address800 STANTON L YOUNG BLVDOklahoma City, OK 73104-5018
Mailing Address800 Stanton L Young BlvdOklahoma City, OK 73104-5018
Phone(580) 483-5302
Sole ProprietorNo
Enumeration DateNovember 10, 2020
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 1, 2024
✔ NPI 1912509456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OK · 43413
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 STANTON L YOUNG BLVD, Oklahoma City, OK 73104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randall Nesom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 20

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

ROHAN HYLTON
Anesthesiology
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
DR. JAKE LEE EVANS MD
Radiology (Diagnostic Radiology)
800 STANTON L YOUNG BLVD, AAT 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
MADISON RYANNE CRAFT MD
Orthopaedic Surgery
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (915) 783-8164
MACGREGOR THOMAS
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
DAVID SAN MARTIN
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
VIJAY RAJ
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
MICHAEL TAYLOR HEATH MD
Surgery
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6308
DR. ILINA TERZIYSKI MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8469

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 Randall Nesom's NPI number?

The NPI number for Randall Nesom is 1912509456. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Randall Nesom located?

Randall Nesom practices at 800 Stanton L Young Blvd, Oklahoma City, OK 73104. The listed phone number is (580) 483-5302.

What is Randall Nesom's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Randall Nesom enrolled in Medicare?

Yes. Randall Nesom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Nesom was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.