Randyl Erik Gessel , PA-C
Physician Assistant • Frederick, MD
1100 W Patrick St Ste H
Frederick, MD 217033974
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 19, 2008; this date does not establish years in practice.
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Published CMS data list 1,711 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99350 — Residence visit for established patient with high level of medical decision making, per day: 326 service units.
- 99349 — Residence visit for established patient with moderate level of medical decision making, per day: 202 service units.
- 90471 — Administration of vaccine: 149 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 28 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,816 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 120 prescription fills, including refills.
- Donepezil Hcl — 86 prescription fills, including refills.
- Duloxetine Hcl — 76 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 60 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Frederick, MD (2024, 62 clinicians with data). Median for this group: 489. Middle half: 254 to 808.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Maryland (2024, 1,555 clinicians with data). Median for this group: 282. Middle half: 86 to 792.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 619 in 2020 to 1,711 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1100 W Patrick St Ste H
Frederick, MD 217033974
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Lavale, MD. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Lakeside Med, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2007
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
254 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $132,164 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $99,514 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
2,187 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
$124,532 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Randyl Gessel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Randyl Gessel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Frederick and Maryland
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Frederick, MD (2024, 62 clinicians with data). Median for this group: 489. Middle half: 254 to 808.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Maryland (2024, 1,555 clinicians with data). Median for this group: 282. Middle half: 86 to 792.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Frederick, MD (2024, 62 clinicians with data). Median for this group: $37,587. Middle half: $18,664 to $85,255.
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Maryland (2024, 1,555 clinicians with data). Median for this group: $23,780. Middle half: $8,384 to $55,296.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Frederick, MD (2024, 62 clinicians with data). Median for this group: $27,503. Middle half: $14,341 to $64,827.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Maryland (2024, 1,555 clinicians with data). Median for this group: $17,933. Middle half: $6,264 to $41,140.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Frederick, MD (2024, 57 clinicians with data). Median for this group: 229. Middle half: 88 to 868.
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Maryland (2024, 1,444 clinicians with data). Median for this group: 160. Middle half: 54 to 492.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Frederick, MD (2024, 57 clinicians with data). Median for this group: $6,528. Middle half: $943 to $62,400.
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Maryland (2024, 1,444 clinicians with data). Median for this group: $2,321. Middle half: $444 to $33,452.
106 active clinicians are listed under Physician Assistant with a practice address in Frederick, MD (3,225 in Maryland).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Frederick
23.6% of these 106 clinicians have the CMS telehealth indicator.
69.8% of these 106 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 176% from 619 in 2020 to 1,711 in 2024.
- 2020: 619
- 2021: 632
- 2022: 1,046
- 2023: 1,061
- 2024: 1,711
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Medicare-allowed amount
Medicare-allowed amount increased 247% from $38,053 in 2020 to $132,164 in 2024.
- 2020: $38,053
- 2021: $43,226
- 2022: $72,216
- 2023: $77,433
- 2024: $132,164
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Paid by Medicare
Paid by Medicare increased 258% from $27,799 in 2020 to $99,514 in 2024.
- 2020: $27,799
- 2021: $38,234
- 2022: $61,075
- 2023: $59,883
- 2024: $99,514
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1035% from 160 in 2020 to 1,816 in 2024.
- 2020: 160
- 2021: 112
- 2022: 342
- 2023: 469
- 2024: 1,816
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30-day fills
30-day fills increased 1267% from 160 in 2020 to 2,187 in 2024.
- 2020: 160
- 2021: 112
- 2022: 342
- 2023: 552
- 2024: 2,187
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Part D drug cost
Part D drug cost increased 8026% from $1,533 in 2020 to $124,532 in 2024.
- 2020: $1,533
- 2021: $1,365
- 2022: $3,859
- 2023: $20,806
- 2024: $124,532
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
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326 | 68 | $209.00 | $157.58 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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202 | 90 | $143.02 | $108.30 |
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90471
Administration of vaccine
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149 | 76 | $24.80 | $17.87 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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149 | 59 | $19.00 | $13.89 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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82 | 41 | $71.02 | $52.97 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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65 | 30 | $55.00 | $40.58 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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61 | 33 | $86.05 | $65.38 |
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99489
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
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52 | 18 | $83.00 | $58.20 |
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99491
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month
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52 | 31 | $96.00 | $71.37 |
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G0008
Administration of influenza virus vaccine
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50 | 50 | $35.52 | $32.45 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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49 | 47 | $225.00 | $73.74 |
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G0318
Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif
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47 | 15 | $47.51 | $26.14 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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46 | 46 | $240.00 | $90.66 |
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99443
Telephone medical discussion with physician, 21-30 minutes
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45 | 36 | $145.80 | $109.15 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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42 | 40 | $104.00 | $76.90 |
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G0009
Administration of pneumococcal vaccine
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42 | 41 | $33.14 | $30.66 |
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99487
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
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32 | 18 | $154.00 | $113.65 |
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99441
Telephone medical discussion with physician, 5-10 minutes
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28 | 27 | $65.00 | $47.69 |
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99345
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
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25 | 25 | $227.00 | $172.60 |
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M0201
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home
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24 | 22 | $55.00 | $38.59 |
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G0010
Administration of hepatitis b vaccine
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23 | 14 | $34.43 | $32.05 |
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90472
Administration of vaccine, each additional vaccine
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21 | 19 | $17.00 | $12.62 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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21 | 21 | $240.00 | $105.34 |
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99437
Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month
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21 | 13 | $68.00 | $49.93 |
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87811
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
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17 | 17 | $80.00 | $40.55 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 120 | 4,669 | $1,388.77 | 21 |
| Donepezil Hcl | Donepezil Hcl | 86 | 2,693 | $955.44 | — |
| Duloxetine Hcl | Duloxetine Hcl | 76 | 2,677 | $2,415.12 | 13 |
| Prednisone | Prednisone | 70 | 600 | $148.70 | 61 |
| Lisinopril | Lisinopril | 68 | 2,341 | $446.51 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 62 | 623 | $968.13 | 58 |
| Montelukast Sodium | Montelukast Sodium | 61 | 1,879 | $945.04 | — |
| Shingrix | Varicella-Zoster Ge/As01b/Pf | 56 | 56 | $10,460.87 | 39 |
| Quetiapine Fumarate | Quetiapine Fumarate | 51 | 1,413 | $824.83 | — |
| Memantine Hcl | Memantine Hcl | 51 | 1,543 | $1,886.60 | — |
| Trazodone Hcl | Trazodone Hcl | 50 | 2,547 | $577.78 | 13 |
| Levothyroxine Sodium | Levothyroxine Sodium | 47 | 1,609 | $534.47 | 11 |
| Eliquis | Apixaban | 44 | 2,052 | $37,356.04 | — |
| Furosemide | Furosemide | 41 | 1,526 | $143.72 | 12 |
| Losartan Potassium | Losartan Potassium | 40 | 1,505 | $269.23 | — |
| Sertraline Hcl | Sertraline Hcl | 38 | 1,687 | $401.18 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 37 | 1,074 | $315.60 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 36 | 1,567 | $640.46 | — |
| Gabapentin | Gabapentin | 34 | 1,123 | $700.34 | — |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 32 | 1,292 | $358.43 | — |
| Hydralazine Hcl | Hydralazine Hcl | 32 | 1,184 | $641.75 | — |
| Cephalexin | Cephalexin | 30 | 424 | $228.53 | 26 |
| Amlodipine Besylate | Amlodipine Besylate | 30 | 1,432 | $337.04 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 30 | 1,268 | $567.70 | — |
| Potassium Chloride | Potassium Chloride | 30 | 1,409 | $1,710.94 | — |
(top 25 shown)
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
Self-certified to NPPES: 2024-05-21NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20181217000058
VA
7113073578
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Lakeside Med, Llc
723 N Market St, Frederick, MD 217015232
Phone: 2403976723
Secondary Practice Locations
1219 National Hwy
Lavale, MD 215027602
Phone: 3017290529
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: WV 01342)
NPI status registered as active in NPPES database
Registered at 1100 W PATRICK ST STE H, FREDERICK, MD 217033974 (Tel: 3016626478)
Registered at 1100 W PATRICK ST STE H, FREDERICK, MD 217033974 (Tel: 3016626478)
Recorded as RANDYL GESSEL, PA-C
Physician Assistant (license number reported to NPPES: MD C04452)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Frederick
- Amanda Golden
- Todd Doran, PA
- Achala Gunasena, PA-C
- Jessica Anderson, PA-C
- Taylor Rose, PA-C
- Alissa Parmelee, PA-C
Mailing Address
1100 W Patrick St Ste H
Frederick, MD 217033974
Phone: 3016626478