RACHAEL MUDD (PA-C) – Physician Assistant, NPI 1093355166
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for RACHAEL MUDD (PA-C)
12865 POINTE DEL MAR WAY STE 160
DEL MAR, CA 920143860
Phone: (858) 350-7546
Type: Mailing
10705 SW 75TH AVE
PORTLAND, OR 972238709
Phone: (602) 628-5874
Type: Mailing
2865 DAGGETT AVE
KLAMATH FALLS, OR 976011106
Phone: (541) 882-6311
Type: Location
10820 N TORREY PINES RD
LA JOLLA, CA 920371036
Phone: (602) 628-5874
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-07-01 • Largest payer in this snapshot: GENZYME CORPORATION ($92).
Total Amount
$173
General + Research + Ownership
Payments
8
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $92 |
| Biofrontera Inc. | $29 |
| Lilly USA, LLC | $23 |
| Galderma Laboratories, L.P. | $15 |
| Regeneron Healthcare Solutions, Inc. | $14 |
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: 2021-12-02
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 |
|---|---|---|---|---|
| I20211202002825 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,971 | 299 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 582 | 359 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 557 | 387 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 344 | 255 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 300 | 220 | $0 |
Insurance plans in this area (ZIP 92014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | NV | |
| - | CA | |
| - | CA | |
| - | NV | |
| D E R M A T O L O G Y | NV | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Pathology | TX | |
| D E R M A T O L O G Y | NV | |
| Physician Assistant | NV |
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