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Gregory Marshall Randolph , D, DS

Dentist - General Practice • Bloomington, IL

Active NPI 1801937222 Individual Practitioner Male Practitioner
Practice location in NPPES

119 N Williamsburg Dr
Bloomington, IL 617043528

Call 3096631326 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

119 N Williamsburg Dr

Bloomington, IL 617043528

Telephone 3096631326
Fax 3096623551
Organization at the Same NPPES Address or Phone
Gregory M Randolph Dds & Associates, Ltd Facility NPI 1104639004

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

686 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,581 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.56 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomington and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Dentist - General Practice in Bloomington, IL (2024, 23 clinicians with data). Median for this group: 63. Middle half: 20 to 92.

More Part D prescriptions than 95% of clinicians listed under Dentist - General Practice in Illinois (2024, 2,448 clinicians with data). Median for this group: 41. Middle half: 21 to 79.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Dentist - General Practice in Bloomington, IL (2024, 23 clinicians with data). Median for this group: $100. Middle half: $54 to $182.

A higher Part D drug cost than 95% of clinicians listed under Dentist - General Practice in Illinois (2024, 2,448 clinicians with data). Median for this group: $119. Middle half: $59 to $256.

42 active clinicians are listed under Dentist - General Practice with a practice address in Bloomington, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 42 clinicians have the CMS telehealth indicator.

0% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $14.56.

Manufacturer Payment Nature Product Type Amount ($)
ZIMVIE INC.
Food and Beverage
In-kind items and services
TSX Implants General $14.56

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 378 1,789 $726.68 264
Clindamycin Hcl Clindamycin Hcl 191 1,131 $428.93 128
Chlorhexidine Gluconate Chlorhexidine Gluconate 66 1,441 $187.87 37
Cephalexin Cephalexin 24 125 $140.86 14
Acetaminophen-Codeine Acetaminophen With Codeine 13 34 $47.55 13
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 11 34 $49.37 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019-020416

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Tax Identification Number
370958381 (IL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1639857162

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2025

Dentist (license number reported to NPPES: IL 019-020416)

âś…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 119 N WILLIAMSBURG DR, BLOOMINGTON, IL 617043528 (Tel: 3096631326)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 119 N WILLIAMSBURG DR, BLOOMINGTON, IL 617043528 (Tel: 3096631326)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as GREGORY RANDOLPH, D,D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration February 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801937222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2007
Last Update: April 03, 2025
Sole Proprietor: Yes

Other Dentist - General Practices in Bloomington

All Dentist - General Practices in Bloomington

Mailing Address

119 N Williamsburg Dr

Bloomington, IL 617043528

Phone: 3096631326

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.