WILLIAM RUSSELL IV JUDSON – Orthopaedic Surgery Physician, NPI 1578023081

WILLIAM RUSSELL IV JUDSON is a healthcare provider. based in Largo, Florida. specializing in ORTHOPEDIC SURGERY. They hold a License No. 100142 (GA). The NPI Number for WILLIAM RUSSELL IV JUDSON is 1578023081

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM RUSSELL IV JUDSON
NPI
1578023081
Phone
Not provided
Address
201 14TH ST SW
Enumeration Date
21 March 2019
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Secondary Phone
6153914545
Graduation Year
2019 (7 years ago)
PAC ID
3476097577
Group Practice PAC ID
4789677170
Professional Enrollment ID
I20250514000981
Address ID
TN370762391HE302XXRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for WILLIAM RUSSELL IV JUDSON

  • 201, 14th Street Southwest, Largo, Pinellas County, Florida, 33770, United States

    LARGO, FL 337703133

    Phone:

    Type: Mailing

  • 302 OLD LEBANON DIRT RD STE 200

    HERMITAGE, TN 370762391

    Phone: (615) 391-4545

    Fax: (615) 391-4546

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $13,121.

Total Amount is formed as General ($13,121) + Research ($0) + Ownership ($0) = $13,121.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Arthrex, Inc. ($10,000).

Total Amount

$13,121

General + Research + Ownership

Payments

67

Total payment records

General Amount

$13,121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2025-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20240701000796IOrthopedic SurgeryGATBD
I20240813000727IOrthopedic SurgeryALTBD
I20250514000981IOrthopedic SurgeryTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33770)

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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: 4789677170View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Nurse PractitionerTN
Orthopedic SurgeryTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Orthopedic SurgeryTN
Physical Therapist In Private PracticePA
P O D I A T R YTN
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for WILLIAM RUSSELL IV JUDSON?
WILLIAM RUSSELL IV JUDSON — NPI 1578023081 — is the standard way to identify this listing.
Does the file indicate WILLIAM RUSSELL IV JUDSON is practicing under active NPI?
Directory data currently reports WILLIAM RUSSELL IV JUDSON as active.
What is WILLIAM RUSSELL IV JUDSON's primary classification?
Orthopaedic Surgery Physician is the headline specialty for WILLIAM RUSSELL IV JUDSON here. Clinical services aligned with this taxonomy classification.
Where should I expect WILLIAM RUSSELL IV JUDSON on a map?
Expect Largo, Florida as a primary anchor for WILLIAM RUSSELL IV JUDSON unless the record lists multiple sites.
Is the information about WILLIAM RUSSELL IV JUDSON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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