Gannon B Randolph, M.D.
Orthopedic Surgery (CMS) · Bentonville, AR
At a glance
1800 Se Moberly Ln, Bentonville, AR 72712-7017
Published activity: Laminectomy or laminotomy (partial removal of spine bones) · Spinal fusion. View counts and coverage
NPPES record updated Jul 12, 2021. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1800 Se Moberly LnBentonville, AR 72712-7017
Additional reported practice locations
1101 S Horsebarn RdRogers, AR 727588237
Phone: 4792719607
Fax: 4792712133
Education & affiliations
- Medical / professional school
- Oregon Health Sciences University School Of Medicine
- Graduation year
- 2000
- CMS specialties
- Orthopedic Surgery
Practice groups
Reported hospital affiliations
- Mercy Hospital Fort Smith Fort Smith, AR
- Mercy Hospital Northwest Arkansas Rogers, AR
- Northwest Medical Center-Springdale Springdale, AR
- Washington Regional Medical Center Fayetteville, AR
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Laminectomy or laminotomy (partial removal of spine bones) | 120 |
| Spinal fusion | 136 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Orthopedic Surgery (CMS)
- Taxonomy code
- 207XS0117X
- Enumeration date
- Aug 20, 2006
- Record updated
- Jul 12, 2021
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- M.D.
Reported taxonomies and licenses
207X00000X
License reported: E5957 AR
207XS0117X · Primary
License reported: E5957 AR
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1800 Se Moberly LnBentonville, AR 72712-7017
- Phone
- (479) 521-2752
- Fax
- (479) 521-4603
Mailing address
3317 N WIMBERLY DRFAYETTEVILLE, AR 727034056
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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