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RANDALL MARK KIMBALL II M.D.
NPI 1972763977
Surgery in Saratoga Springs, NY

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
65.44/100
CMS Quality Rating
1 WEST AVE, SUITE 125, SARATOGA SPRINGS, NY 12866(518) 693-4418(518) 693-4481 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall Mark Kimball Ii M.d. NPPES

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

RANDALL MARK KIMBALL II M.D. (NPI 1972763977) is an individual surgery provider in Saratoga Springs, New York, licensed in New York (271859) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of Albany Medical College Of Union University (2007).

NPPES Registry Identity

NPI1972763977
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRANDALL MARK KIMBALL IICredential: M.D.
Location Address1 WEST AVE, SUITE 125Saratoga Springs, NY 12866-6045
Mailing Address1 West Ave, Suite 125Saratoga Springs, NY 12866-6045 · (518) 693-4418 · Fax (518) 693-4481
Phone(518) 693-4418
Fax(518) 693-4481
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2007
Enumeration DateJune 12, 2008
Last NPPES UpdateJune 6, 2014
✔ NPI 1972763977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 271859
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 WEST AVE, Saratoga Springs, NY 12866
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Other Identifiers 2

Medicare PINJ400091115NY
Medicaid03649552NY

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 Mark Kimball Ii M.d. 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 ID1557526720
PECOS Enrollment IDI20130829000633
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 7

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.
32 services19 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.
29 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 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.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
39%178 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
25%235 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
38%213 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%441 patients3/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
67%21 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
41%80 patients2/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
38%80 patients2/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
70%80 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
80%1,273 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
29%198 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%832 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
27%409 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 56% · 613 patients
Patients tobacco: 48% · 613 patients
42%90 patients2/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 198 patients
0%198 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

AIMEE CHRISTINE ALEXANDER PT
Physical Therapist
1 WEST AVE, SUITE 125
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-7537
MICHELLE TARTE
Physician Assistant
1 WEST AVE, SUITE 305
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-1553
SARATOGA HOSPITAL
General Acute Care Hospital
1 WEST AVE, SUITE 125
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 693-4418
MRS. KATHRYN TAYLOR ANILOWSKI M.S., P.T., C.L.T.
Physical Therapist
1 WEST AVE, SUITE 215
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-5878
SARATOGA HOSPITAL
Surgery
1 WEST AVE, SUITE 300
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 693-4699
REBECCA NORSWORTHY
Physical Therapist
1 WEST AVE, SUITE 150
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-7537
FREDERICK DIETER REYNOLDS M.D.
Surgery
1 WEST AVE, SUITE 125
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 693-4418
COMMUNITY CARE PHYSICIANS, PC
Radiology (Diagnostic Radiology)
1 WEST AVE, SUITE 140
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-5000

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 Kimball's NPI number?

The NPI number for Randall Kimball is 1972763977. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Randall Kimball located?

Randall Kimball practices at 1 West Ave Suite 125, Saratoga Springs, NY 12866. The listed phone number is (518) 693-4418.

What is Randall Kimball's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Randall Kimball enrolled in Medicare?

Yes. Randall Kimball 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 Randall Kimball affiliated with any hospitals?

According to CMS data, Randall Kimball is affiliated with Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Randall Kimball was last updated on June 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.