Randolph Peterson, M.D.
NPI 1053380204 · Anatomic Pathology & Clinical Pathology Physician · Edina, MN
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randolph Peterson, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Edina, MN (NPI 1053380204).
Provider details
- NPI number
- 1053380204
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 40788 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
535 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Special Stained Specimen Slides to Examine Tissue, Each Multiplex Procedure88344 | 279 | $173 |
| Surgical Pathology, Gross and Microscopic Examinations, for Prostate Needle Biopsy, Any MethodG0416 | 256 | $361 |
Typical Medicare-allowed amounts for these services range $173–$361 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$48 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2015-11-10
Frequently asked questions
- What is Randolph Peterson's NPI number?
- Randolph Peterson's National Provider Identifier (NPI) is 1053380204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randolph Peterson's specialty?
- Randolph Peterson is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Randolph Peterson located?
- Randolph Peterson's practice location on file with NPPES is 6525 France Ave S, Edina, MN 55435-2148.
- What is Randolph Peterson's phone number?
- The practice phone number listed in the NPPES registry for Randolph Peterson is (952) 927-6501.
- Does Randolph Peterson accept Medicare?
- Randolph Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randolph Peterson's NPI active?
- Yes — Randolph Peterson's NPI (1053380204) is active in the NPPES registry as of the last update on 2015-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.