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MARK PATRICK RANDOLPH PA-C
NPI 1952394629
Physician Assistant - Medical in Wilson, NC

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
2503 WOOTEN BLVD SW, WILSON, NC 27893(252) 243-2268(252) 243-2917 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Patrick Randolph Pa-c NPPES

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

MARK PATRICK RANDOLPH PA-C (NPI 1952394629) is an individual medical provider in Wilson, North Carolina, licensed in North Carolina (103783) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1952394629
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK PATRICK RANDOLPHCredential: PA-C
Location Address2503 WOOTEN BLVD SWWilson, NC 27893-4426
Mailing AddressPo Box 3127Wilson, NC 27895-3127 · (252) 243-2268 · Fax (252) 243-2917
Phone(252) 243-2268
Fax(252) 243-2917
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 26, 2005
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1952394629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 103783
2503 WOOTEN BLVD SW, Wilson, NC 27893
Open in Google Maps ↗

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

Mark Patrick Randolph Pa-c 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 ID244205219
PECOS Enrollment IDI20040901000928
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

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.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. ANWAR DARWISH AL-HAIDARY
Internal Medicine (Nephrology)
2503 WOOTEN BLVD SW
WILSON, NC 27893
Wilson County (252) 243-2268

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 Mark Randolph's NPI number?

The NPI number for Mark Randolph is 1952394629. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Mark Randolph located?

Mark Randolph practices at 2503 Wooten Blvd SW, Wilson, NC 27893. The listed phone number is (252) 243-2268.

What is Mark Randolph's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mark Randolph enrolled in Medicare?

Yes. Mark Randolph 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.

Is Mark Randolph affiliated with any hospitals?

According to CMS data, Mark Randolph is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Randolph was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.