Doctor profile · Federal record
Dr. Gannon Randolph, M.D.
Orthopaedic Surgery of the Spine Physician (CMS: Orthopedic Surgery) · Orthopaedic Surgery Physician · Bentonville, AR
- NPI 1528173697
- Accepts Medicare
- 26 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1800 Se Moberly Ln
Bentonville, AR 727127017
(479) 521-2752
fax (479) 521-4603 - Additional location
-
1101 S Horsebarn RD
Rogers, AR 727588237
(479) 271-9607
fax (479) 271-2133 - Mailing address
-
3317 N Wimberly Dr
Fayetteville, AR 727034056
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 12, 2021
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 207XS0117X — NUCC code
- State license (1)
- Arkansas #E5957
- Medicaid
- AR #1176259001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528173697. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,204
Distinct HCPCS
10
Medicare allowed
$134,446
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
72100 |
X-ray of lower and sacral spine, 2-3 views | 377 | 261 | $31 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 207 | 164 | $80 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 146 | 133 | $113 | |
72040 |
X-ray of upper spine, 2-3 views | 110 | 62 | $31 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 67 | 67 | $145 | |
J1885 |
Injection, ketorolac tromethamine, per 15 mg | 48 | 15 | $1 | |
63047 |
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 46 | 46 | $894 | |
63048 |
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 38 | 30 | $182 | |
72148 |
Mri scan of lower spinal canal without contrast | 38 | 36 | $108 | |
72070 |
X-ray of middle spine, 2 views | 37 | 26 | $23 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 80. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 1 | $17.05 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
561
Patients
286
Total drug cost
$5,437
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 164 | 51 | $724 |
| Mupirocin | Generic | 135 | 131 | $1,559 |
| Cyclobenzaprine Hcl | Generic | 98 | 38 | $1,422 |
| Gabapentin | Generic | 86 | 30 | $1,031 |
| Baclofen | Generic | 27 | 0 | $204 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 14 | 11 | $189 |
| Ondansetron Hcl | Generic | 13 | 12 | $40 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 13 | 13 | $38 |
| Ropinirole Hcl | Generic | 11 | 0 | $230 |
Hospital affiliations
Frequently asked questions
What is Dr. Gannon Randolph's medical specialty?
Dr. Gannon Randolph practices Orthopaedic Surgery of the Spine Physician in Bentonville, AR.
Where does Dr. Gannon Randolph practice?
Dr. Gannon Randolph practices at 1800 Se Moberly Ln, Bentonville, AR 727127017. Office phone: 4795212752.
What is Dr. Gannon Randolph's NPI?
Dr. Gannon Randolph's National Provider Identifier (NPI) is 1528173697, issued by NPPES.
Does Dr. Gannon Randolph accept Medicare assignment?
Yes. Dr. Gannon Randolph accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gannon Randolph commonly perform?
Top Medicare-reported procedures in 2023: X-ray of lower and sacral spine, 2-3 views (HCPCS 72100); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.