RANDALL LEE GOLDFISH
NPI 1922238732
Family Medicine in Kearney, NE

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
816 22ND AVE, SUITE 100, KEARNEY, NE 68845(308) 865-2263(308) 865-2541 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Lee Goldfish NPPES

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

RANDALL LEE GOLDFISH (NPI 1922238732) is an individual family medicine provider in Kearney, Nebraska, licensed in Nebraska (FG1386716) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of University Of Nebraska College Of Medicine (2009).

NPPES Registry Identity

NPI1922238732
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDALL LEE GOLDFISH
Location Address816 22ND AVE, SUITE 100Kearney, NE 68845-2206
Mailing Address816 22nd Ave, Suite 100Kearney, NE 68845-2206 · (308) 865-2808
Fax(308) 865-2541
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2009
Enumeration DateJuly 15, 2009
Last NPPES UpdateJuly 29, 2019
NPI 1922238732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · FG1386716
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.
816 22ND AVE, Kearney, NE 68845

Accepted 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

Randall Lee Goldfish 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 ID8123279221
PECOS Enrollment IDI20121120000272
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
472 services194 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
459 services276 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
414 services245 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
109 services103 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
89 services84 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
85 services85 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68845 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers115 claims223 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers38 claims42 services$0.99 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers42 claims42 services$46.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers41 claims41 services$112.35 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers46 claims127 services$43.19 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers15 claims80 services$25.35 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 15

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

Nurse Practitioner (Family)
816 22ND AVE
KEARNEY, NE 68845
Family Medicine
816 22ND AVE, SUITE 100
KEARNEY, NE 68845
Surgery
816 22ND AVE, SUITE 100
KEARNEY, NE 68845
Nurse Practitioner (Family)
816 22ND AVE
KEARNEY, NE 68845
Internal Medicine
816 22ND AVE, SUITE 100
KEARNEY, NE 68845
Nurse Practitioner
816 22ND AVE, SUITE 100
KEARNEY, NE 68845
Internal Medicine (Cardiovascular Disease)
816 22ND AVE, SUITE 100
KEARNEY, NE 68845
Family Medicine
816 22ND AVE, SUITE 100
KEARNEY, NE 68845

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 Goldfish's NPI number?

The NPI number for Randall Goldfish is 1922238732. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Randall Goldfish located?

Randall Goldfish practices at 816 22nd Ave Suite 100, Kearney, NE 68845. The listed phone number is (308) 865-2263.

What is Randall Goldfish's specialty?

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

Is Randall Goldfish enrolled in Medicare?

Yes. Randall Goldfish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Goldfish accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Randall Goldfish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Randall Goldfish affiliated with any hospitals?

According to CMS data, Randall Goldfish is affiliated with Chi Health Good Samaritan, The Nebraska Medical Center and Kearney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Randall Goldfish was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.