Derrick Randdolf, MD
NPI 1104205343 · Family Medicine Physician · Odessa, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derrick Randdolf, MD is a Family Medicine Physician provider in Odessa, TX (NPI 1104205343).
Provider details
- NPI number
- 1104205343
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R4622 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
409 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 181 | $167 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 169 | $115 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 44 | $8 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 15 | $64 |
Typical Medicare-allowed amounts for these services range $8–$167 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 24 | 24 |
| Prednisone | 22 | 21 |
| Cephalexin | 22 | 22 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 21 | 21 |
| Azithromycin | 18 | 17 |
| Levofloxacin | 18 | 18 |
| Ondansetronbrand: Ondansetron Odt | 17 | 17 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-20
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Frequently asked questions
- What is Derrick Randdolf's NPI number?
- Derrick Randdolf's National Provider Identifier (NPI) is 1104205343, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Randdolf's specialty?
- Derrick Randdolf is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Derrick Randdolf located?
- Derrick Randdolf's practice location on file with NPPES is 701 W 5th St, Odessa, TX 79763-4206.
- What is Derrick Randdolf's phone number?
- The practice phone number listed in the NPPES registry for Derrick Randdolf is (432) 703-5375.
- Does Derrick Randdolf accept Medicare?
- Derrick Randdolf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derrick Randdolf's NPI active?
- Yes — Derrick Randdolf's NPI (1104205343) is active in the NPPES registry as of the last update on 2025-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.