Randall Simonsen, MD PA
NPI 1235261082 · Anatomic Pathology & Clinical Pathology Physician · Kingsville, TX
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Simonsen, MD PA is a Anatomic Pathology & Clinical Pathology Physician provider in Kingsville, TX (NPI 1235261082).
Provider details
- NPI number
- 1235261082
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PA
- Sex
- Male
- Sole proprietor
- No
- License
- H8840 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 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
152 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 78 | $35 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 37 | $25 |
| Special Stained Specimen Slides to Examine Tissue Including Interpretation and Report88313 | 37 | $11 |
Typical Medicare-allowed amounts for these services range $11–$35 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2012-10-18
Frequently asked questions
- What is Randall Simonsen's NPI number?
- Randall Simonsen's National Provider Identifier (NPI) is 1235261082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Simonsen's specialty?
- Randall Simonsen is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Randall Simonsen located?
- Randall Simonsen's practice location on file with NPPES is 1311 General Cavazos Blvd, Kingsville, TX 78363-7129.
- What is Randall Simonsen's phone number?
- The practice phone number listed in the NPPES registry for Randall Simonsen is (361) 595-1661.
- Does Randall Simonsen accept Medicare?
- Randall Simonsen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randall Simonsen's NPI active?
- Yes — Randall Simonsen's NPI (1235261082) is active in the NPPES registry as of the last update on 2012-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.