Randin Nelson, M.D.
NPI 1386871531 · Anatomic Pathology & Clinical Pathology Physician · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randin Nelson, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Wilkes Barre, PA (NPI 1386871531).
Provider details
- NPI number
- 1386871531
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
197 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) |
|---|---|---|
| Mechanical Separation of Plasma From Blood36514 | 92 | $88 |
| Blood Bank Physician Services for Cross Match And/Or Evaluation and Written Report86077 | 44 | $46 |
| Pathology Clinical Consultation for Clinical Problem, 5-20 Minutes80503 | 22 | $21 |
| Pathology Clinical Consultation for Moderately Complex Clinical Problem, 21-40 Minutes80504 | 22 | $45 |
| Blood Smear Interpretation By Physician With Written Report85060 | 17 | $22 |
Typical Medicare-allowed amounts for these services range $21–$88 (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.
$119 across 2 records (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
- 2009-06-15
- Last updated
- 2021-02-22
- Certified
- 2021-02-22
Frequently asked questions
- What is Randin Nelson's NPI number?
- Randin Nelson's National Provider Identifier (NPI) is 1386871531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randin Nelson's specialty?
- Randin Nelson is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Randin Nelson located?
- Randin Nelson's practice location on file with NPPES is 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027.
- What is Randin Nelson's phone number?
- The practice phone number listed in the NPPES registry for Randin Nelson is (570) 808-7830.
- Does Randin Nelson accept Medicare?
- Randin Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randin Nelson's NPI active?
- Yes — Randin Nelson's NPI (1386871531) is active in the NPPES registry as of the last update on 2021-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.