DR. GANNON DUDLAR (M.D.) – Emergency Medicine Physician, NPI 1003865775
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,232 EMERGENCY MEDICINE in FL
Provider Addresses for DR. GANNON DUDLAR (M.D.)
3655 SEASIDE DR APT 328
KEY WEST, FL 330405356
Phone:
Type: Mailing
2506 N ROOSEVELT BLVD STE 103
KEY WEST, FL 330403951
Phone: (305) 973-5582
Type: Location
West El Camino Real, Mountain View, Santa Clara County, California, 94039, United States
MOUNTAIN VIEW, CA 940406203
Phone:
Type: Mailing
PAMF Mountain View Center, 701, East El Camino Real, Mountain View, Santa Clara County, California, 94040, United States
MOUNTAIN VIEW, CA 940402833
Phone: (650) 934-7800
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 $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2023-03-30 • Largest payer in this snapshot: Lilly USA, LLC ($91).
Total Amount
$91
General + Research + Ownership
Payments
1
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $91 |
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: 2023-03-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060320000077 | I | Emergency Medicine | IL | TBD |
| I20230317002159 | I | Emergency Medicine | FL | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 43 | $0 |
| 71046 | X-ray of chest, 2 views | 49 | 47 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 30 | $0 |
Insurance plans in this area (ZIP 33040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Emergency Medicine | FL | |
| Family Practice | FL | |
| Emergency Medicine, Family Practice | NC | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Emergency Medicine | FL |
Reviews
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