Doctor profile · Federal record

Dr. Randall McKissack, M.D.

Surgery Physician (CMS: General Surgery) · Fort Walton Beach, FL

  • NPI 1487639621
  • Accepts Medicare
  • MIPS 54.7 / 100 · 2023
  • 40 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
999 Mar Walt Dr
Fort Walton Beach, FL 325476758
(850) 863-8269
fax (850) 862-7965
Mailing address
1005 Mar Walt Drive
Fort Walton Beach, FL 325476707

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
November 12, 2020
Year of graduation
1986 — 40 yrs since
Specialty taxonomy
208600000X — NUCC code
State license (1)
Florida #ME96715
Medicaid
FL #277632400

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1487639621. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
240
Distinct HCPCS
5
Medicare allowed
$24,753
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 112 72 $85
99203 New patient office or other outpatient visit, 30-44 minutes 45 45 $107
99204 New patient office or other outpatient visit, 45-59 minutes 38 38 $162
99214 Established patient office or other outpatient visit, 30-39 minutes 25 25 $125
99212 Established patient office or other outpatient visit, 10-19 minutes 20 17 $55

In context: peer comparison

Among 5 peers in Fort Walton Beach Surgery Physician, average services per provider: 50. This provider delivers 4.8× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
43
Patients
31
Total drug cost
$172
Drug Type Claims Patients Total cost
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 22 12 $84
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 21 19 $88

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Randall McKissack's medical specialty?
Dr. Randall McKissack practices Surgery Physician in Fort Walton Beach, FL.
Where does Dr. Randall McKissack practice?
Dr. Randall McKissack practices at 999 Mar Walt Dr, Fort Walton Beach, FL 325476758. Office phone: 8508638269.
What is Dr. Randall McKissack's NPI?
Dr. Randall McKissack's National Provider Identifier (NPI) is 1487639621, issued by NPPES.
Does Dr. Randall McKissack accept Medicare assignment?
Yes. Dr. Randall McKissack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Randall McKissack commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.