LEWIS TODD DUDLEY (M.D.) – Pediatric Radiology Physician, NPI 1912939109
Pediatric Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,812 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for LEWIS TODD DUDLEY (M.D.)
10470, Old Placerville Road, Mather, Rancho Cordova, Sacramento County, California, 95827, United States
SUITE 100
SACRAMENTO, CA 958272539
Phone: (855) 771-0335
Type: Mailing
5151, F Street, Sacramento, Sacramento County, California, 95819, United States
SACRAMENTO, CA 958193223
Phone: (916) 733-1925
Fax: (916) 733-1074
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: 2006-08-17
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20060817000339 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,947 | 61 | $0 |
| 71046 | X-ray of chest, 2 views | 414 | 409 | $0 |
| 77067 | Screening mammography | 227 | 227 | $0 |
| 77063 | Screening 3d breast mammography | 227 | 227 | $0 |
| 71045 | X-ray of chest, 1 view | 203 | 202 | $0 |
Insurance plans in this area (ZIP 95827)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Internal Medicine | CA | |
| Diagnostic Radiology | CA | |
| Internal Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | TN |
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