DR. TRUDELL A DOCTOR (M.D) – Family Medicine Physician, NPI 1609001106

DR. TRUDELL A DOCTOR (M.D) is a healthcare provider. based in Boca raton, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. ME103551 (FL). The NPI Number for DR. TRUDELL A DOCTOR (M.D) is 1609001106

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRUDELL A DOCTOR (M.D)
NPI
1609001106
Phone
(561) 866-3200
Address
PO BOX 810501
Enumeration Date
27 May 2009
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613360112
Graduation Year
2006 (20 years ago)
PAC ID
9032265228
Group Practice PAC ID
1759290992
Professional Enrollment ID
I20100713000680
Address ID
FL334266346BO1700XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. TRUDELL A DOCTOR (M.D)

  • PO BOX 810501

    BOCA RATON, FL 334810501

    Phone: (561) 866-3200

    Type: Mailing

  • 6080 BOYNTON BEACH BLVD STE 230

    BOYNTON BEACH, FL 334373586

    Phone: (561) 866-3200

    Fax: (833) 471-3203

    Type: Mailing

  • Boynton Beach, I 95, Lantana, Boynton Beach, Palm Beach County, Florida, 33462, United States

    BOYNTON BEACH, FL 334376155

    Phone: (561) 877-1800

    Fax: (561) 742-4480

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 183 Open Payments records for all available years, with a total value of $3,468.

Total Amount is formed as General ($3,468) + Research ($0) + Ownership ($0) = $3,468.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($804).

Total Amount

$3,468

General + Research + Ownership

Payments

183

Total payment records

General Amount

$3,468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2010-07-13

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
I20100713000680IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,224298$0
36415Insertion of needle into vein for collection of blood sample428242$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit212212$0
99497Advance care planning, first 30 minutes195193$0
G0444Annual depression screening, 5 to 15 minutes162162$0
View full utilization report →

Insurance plans in this area (ZIP 33481)

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Provider's Procedures

DR. TRUDELL A DOCTOR (M.D) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL82270Stool analysis for blood to screen for colon tumors1212
FAMILY MEDICINEFL83036Hemoglobin A1C level7640

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: 1759290992View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Internal MedicineFL
Family PracticeFL
Physician AssistantVA
Physician AssistantFL
Family PracticeFL
Internal MedicineFL
Family PracticeFL
Physician AssistantFL
N E U R O S U R G E R YFL

Reviews

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Frequently asked questions

Where can patients find DR. TRUDELL A DOCTOR (M.D)'s NPI?
You can confirm DR. TRUDELL A DOCTOR (M.D) with NPI 1609001106; it appears in the national provider directory.
Does this profile mean DR. TRUDELL A DOCTOR (M.D) is currently active?
Yes — DR. TRUDELL A DOCTOR (M.D) appears active in the national provider directory.
What does DR. TRUDELL A DOCTOR (M.D) treat or focus on?
Patients typically see DR. TRUDELL A DOCTOR (M.D) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. TRUDELL A DOCTOR (M.D)'s primary listing?
We display Boca Raton, Florida because that is what the record indicates for DR. TRUDELL A DOCTOR (M.D).
How can I contact DR. TRUDELL A DOCTOR (M.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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