DR. JODY LINN DAUDEL (MD) – Obstetrics & Gynecology Physician, NPI 1114107877

DR. JODY LINN DAUDEL (MD) is a healthcare provider. based in Benicia, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. A95421 (CA). The NPI Number for DR. JODY LINN DAUDEL (MD) is 1114107877

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JODY LINN DAUDEL (MD)
NPI
1114107877
Phone
(707) 205-5739
Address
510 BRECK CT
Enumeration Date
11 November 2007
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
5104440790
Graduation Year
2004 (22 years ago)
PAC ID
4688714744
Group Practice PAC ID
9436239878
Professional Enrollment ID
I20091221000613
Address ID
CA947052031BE2920XAVEX305
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. JODY LINN DAUDEL (MD)

  • 510, Breck Court, Benicia, Solano County, California, 94510, United States

    BENICIA, CA 945101372

    Phone: (707) 205-5739

    Type: Mailing

  • 210, Hospital Drive, Harry Floyd Terrace, Vallejo, Solano County, California, 94589, United States

    VALLEJO, CA 945892517

    Phone: (707) 645-7316

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-12-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091221000613IObstetrics/GynecologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2929$0
99212Established patient office or other outpatient visit, 10-19 minutes2722$0
99213Established patient office or other outpatient visit, 20-29 minutes2216$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1111$0
View full utilization report →

Insurance plans in this area (ZIP 94510)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436239878View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Emergency MedicineCA
Physician AssistantMA
Physician AssistantVA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YDC
Physician AssistantPA
Hospitalist, Family PracticeCA

Reviews

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Frequently asked questions

What number should I use to identify DR. JODY LINN DAUDEL (MD) for billing?
Administrative and clinical systems typically use NPI 1114107877 for DR. JODY LINN DAUDEL (MD).
Is DR. JODY LINN DAUDEL (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JODY LINN DAUDEL (MD) as active.
What does the directory say DR. JODY LINN DAUDEL (MD) does?
Insurance directories may phrase it differently, but here DR. JODY LINN DAUDEL (MD) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JODY LINN DAUDEL (MD)?
The directory associates DR. JODY LINN DAUDEL (MD) with Benicia, California. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JODY LINN DAUDEL (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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