Providers
WENDELL LEWIS RANDALL, MD
NPI 1902856065, individual, Mount Airy, NC, Pathology, Anatomic Pathology & Clinical Pathology
1
Evidence tier
adjudicated in a public enforcement record
- Adjudicated (sentenced) per a Department of Justice release dated March 14, 2025.
- No Medicaid payments in the last 12 observed months.
score 90 of 100, rank 518, $0 at stake
Public list actions
Medicare revocation effective November 14, 2023, barred from re-enrolling until November 14, 2033
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Pathology, KS
Medicare revocation effective November 14, 2023, barred from re-enrolling until November 14, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Pathology, NC
Medicare revocation effective July 17, 2023, barred from re-enrolling until December 8, 2028
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Pathology, VA
OIG exclusion November 20, 2025 under section 1128a1
Bus Owner/Exec, Physician Practice (, Millers Creek, NC
OIG exclusion October 20, 2024 under section 1128a4
Bus Owner/Exec, Physician Practice (, Salem, VA
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report | Exact NPI, name verified | Jul 17, 2023 | Dec 8, 2028 | 1 | Aug 2023 | Aug 2023 | $3K | $230K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | WENDELL LEWIS RANDALL, MD |
| Type | Individual |
| Status | Active |
| NPI issued | May 11, 2006, last updated May 17, 2023 |
| Practice location | 956 N MAIN ST, Mount Airy, NC 27030-3747, 336-648-8550 |
| Specialties | Pathology, Anatomic Pathology & Clinical Pathology (207ZP0102X, primary, license 36016 NC) General Practice (208D00000X, license 36016 NC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $2.0M | 51% | $159 | $146 (top 5% from $318) | 57th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.3M | 32% | $83 | $60 (top 5% from $133) | 73rd percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $453K | 11% | $63 | $45 (top 5% from $110) | 75th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $77K | 2% | $157 | $128 (top 5% from $249) | 67th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $63K | 2% | $33 | $44 (top 5% from $110) | 33rd percentile | |
| 80305 | Testing for presence of drug, read by direct observation | $61K | 2% | $10 | $9.23 (top 5% from $22) | 57th percentile | |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | $22K | 1% | $9.79 | $7.24 (top 5% from $18) | 71st percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $10K | 0% | $83 | $95 (top 5% from $171) | too few months to rank |
In this area
4 providers in Surry County, NC carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 3 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | NATIONAL INSTITUTE OF TOXICOLOGY, PLLC Mount Airy, NC, ranked 538 | $0 |
|
| 3 | DGS HEALTHCARE ELKIN INC DBA CHATHAM NURSING AND REHABILITATION Elkin, NC, ranked 2374 | $0 |
|
| 3 | NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY Mount Airy, NC, ranked 2485 | $0 |
|
| 3 | HOSPICE OF SURRY COUNTY, INC Dobson, NC, ranked 6214 | $0 |
|
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.