MR. DANIEL G DUDZIAK (RPAC) – Physician Assistant, NPI 1528040482
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for MR. DANIEL G DUDZIAK (RPAC)
474 N State Route 89
Chino Valley, AZ 863235993
Phone: (928) 636-4355
Fax: (928) 636-0754
Type: Location
Flagstaff Medical Center, 1200, North Beaver Street, Hospital Hill, Flagstaff, Coconino County, Arizona, 86001, United States
FLAGSTAFF, AZ 860013118
Phone: (928) 213-6235
Fax: (928) 213-6292
Type: Mailing
340, South Willard Street, Clemenceau, Cottonwood, Yavapai County, Arizona, 86326, United States
COTTONWOOD, AZ 863264126
Phone: (992) 639-6025
Fax: (928) 634-1117
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170222000726 | I | Physician Assistant | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 768 | 11 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 726 | 140 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 266 | 186 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 183 | 183 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 125 | 104 | $0 |
Insurance plans in this area (ZIP 86323)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AZ | 73562 | X-ray of knee, 3 views | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | AZ | |
| Physician Assistant | CA | |
| H O S P I T A L I S T | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| A N E S T H E S I O L O G Y | NV | |
| Family Practice | AZ | |
| Physician Assistant | CA |
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