Doctor profile · Federal record

Dr. Derrick Randdolf, MD

Family Medicine Physician (CMS: Family Practice) · Emergency Medicine Physician · Odessa, TX

  • NPI 1104205343
  • Accepts Medicare
  • MIPS 74.1 / 100 · 2023
  • 14 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
701 W 5Th St
Odessa, TX 797634206
(432) 703-5375
fax (432) 703-5238
Mailing address
24165 W Interstate 10 Ste 202
San Antonio, TX 782571160

Credentials & registration

NPPES · NUCC
NPI registered
May 2015 — 11 yrs on file
Profile last updated
February 26, 2025
Year of graduation
2012 — 14 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Texas #R4622

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104205343. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
597
Distinct HCPCS
5
Medicare allowed
$66,375
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 211 184 $116
99285 Emergency department visit with high level of medical decision making 204 174 $168
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 125 106 $8
99283 Emergency department visit with low level of medical decision making 36 33 $68
99291 Critical care, first 30-74 minutes 21 19 $205

In context: peer comparison

Among 12 peers in this city , average services per provider: 213. This provider delivers 2.8× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
208
Patients
201
Total drug cost
$937
Drug Type Claims Patients Total cost
Tramadol Hcl Generic 35 33 $64
Prednisone Generic 33 32 $54
Azithromycin Generic 31 29 $148
Levofloxacin Generic 27 27 $107
Cephalexin Generic 23 23 $113
Ondansetron Odt (Ondansetron) Brand 22 21 $220
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 15 14 $46
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 11 11 $105
Cyclobenzaprine Hcl Generic 11 11 $80

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Derrick Randdolf's medical specialty?
Dr. Derrick Randdolf practices Family Medicine Physician in Odessa, TX.
Where does Dr. Derrick Randdolf practice?
Dr. Derrick Randdolf practices at 701 W 5Th St, Odessa, TX 797634206. Office phone: 4327035375.
What is Dr. Derrick Randdolf's NPI?
Dr. Derrick Randdolf's National Provider Identifier (NPI) is 1104205343, issued by NPPES.
Does Dr. Derrick Randdolf accept Medicare assignment?
Yes. Dr. Derrick Randdolf accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Derrick Randdolf commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with high level of medical decision making (HCPCS 99285); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.