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WALTER WATSON RANDOLPH III MD
NPI 1992700520
Obstetrics & Gynecology in New Philadelphia, OH

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1417 KADERLY ST NW, NEW PHILADELPHIA, OH 44663(330) 602-5678(330) 602-9604 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walter Watson Randolph Iii Md NPPES

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

WALTER WATSON RANDOLPH III MD (NPI 1992700520) is an individual obstetrics & gynecology provider in New Philadelphia, Ohio, licensed in Ohio (35071310R) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Union Hospital, and is a graduate of University Of Toledo College Of Medicine (1995).

NPPES Registry Identity

NPI1992700520
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameWALTER WATSON RANDOLPH IIICredential: MD
Location Address1417 KADERLY ST NWNew Philadelphia, OH 44663-1242
Mailing Address1417 Kaderly St NwNew Philadelphia, OH 44663-1242 · (330) 602-5678 · Fax (330) 602-9604
Phone(330) 602-5678
Fax(330) 602-9604
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1995
Enumeration DateJune 20, 2005
Last NPPES UpdateMarch 1, 2012
✔ NPI 1992700520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35071310R
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1417 KADERLY ST NW, New Philadelphia, OH 44663
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Other Identifiers 3

Medicaid2127157OH
Medicare UPING98705
Medicare ID-Type UnspecifiedRA0883431OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Walter Watson Randolph Iii Md 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 ID4789783432
PECOS Enrollment IDI20070621000396
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 5

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.

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.
75 services42 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
44 services44 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.
40 services34 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.
20 services20 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Union Hospital

Acute Care Hospitals · Dover, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360010
Location659 BoulevardDover, OH 44622 · Tuscarawas County
Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44663 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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.

JENNIFER L. NEY, D.O. INC.
Internal Medicine (Pulmonary Disease)
1417 KADERLY ST NW
NEW PHILADELPHIA, OH 44663
Tuscarawas County (330) 602-2656

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 Walter Randolph's NPI number?

The NPI number for Walter Randolph is 1992700520. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Walter Randolph located?

Walter Randolph practices at 1417 Kaderly St NW, New Philadelphia, OH 44663. The listed phone number is (330) 602-5678.

What is Walter Randolph's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Walter Randolph enrolled in Medicare?

Yes. Walter 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.

What insurance does Walter Randolph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Walter Randolph 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 Walter Randolph affiliated with any hospitals?

According to CMS data, Walter Randolph is affiliated with Union Hospital, Genesis Hospital and Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Walter Randolph was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.