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Jackson Randolph, MD

NPI 1063040970ActiveIndividual· Otolaryngology· San Luis Obispo, CA

Otolaryngology (MD) with Adventist Health Physicians Network, practicing in San Luis Obispo, California. Part D covered 86 prescriptions written in 2024, 92% of them generic. Inspire Medical Systems, Inc. was the largest of 6 companies reporting payments in 2025, $2,457 in all, mostly travel and lodging. Lists Adventist Health Sierra Vista and 3 other hospitals as hospital affiliations.

Overview

NPI1063040970
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorYes
NPI issuedMar 28, 2020
Last updated in NPPESJun 14, 2025
Certified by providerJun 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Otolaryngology Primary207Y00000XA202960CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Otolaryngology (CA)

Part D prescriptions in 2024

Prescriptions (claims)86 · 100 30-day fills
Patients49
Total drug cost$1,010
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyOtolaryngology

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$2,457 · 14 payments from 6 companies

Top paying companies in 2025

What the 2025 payments were for

  • Travel and Lodging$1,511 · 5 payments
  • Food and Beverage$946.57 · 9 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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