DR. BRADLEY PIERCE MUDGE (MD) – Plastic Surgery Physician, NPI 1891764700
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
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Provider Addresses for DR. BRADLEY PIERCE MUDGE (MD)
240, Newport Center Drive, Granville, Newport Beach, Orange County, California, 92660, United States
#105
NEWPORT BEACH, CA 926607512
Phone: (949) 644-2450
Fax: (949) 644-2451
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $296.
Total Amount is formed as General ($296) + Research ($0) + Ownership ($0) = $296.
Last reported payment date: 2024-05-20 • Largest payer in this snapshot: GENZYME CORPORATION ($161).
Total Amount
$296
General + Research + Ownership
Payments
5
Total payment records
General Amount
$296
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $161 |
| Amgen Inc. | $135 |
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: 2003-11-06
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 |
|---|---|---|---|---|
| I20031106000436 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 74 | 68 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 73 | 46 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 23 | 21 | $0 |
| 11603 | Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm | 14 | 14 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 92660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | IA |
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