JANE RUDOLPH (MD OBGYN) – Obstetrics & Gynecology Physician, NPI 1649266339
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 OBSTETRICS/GYNECOLOGY in FL
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Provider Addresses for JANE RUDOLPH (MD OBGYN)
Impression Imaging, 6853, Southwest 18th Street, Boca Pointe, Boca Raton, Palm Beach County, Florida, 33433, United States
SUITE 301
BOCA RATON, FL 334337056
Phone: (561) 368-3775
Fax: (561) 392-7139
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 26 Open Payments records for all available years, with a total value of $687.
Total Amount is formed as General ($687) + Research ($0) + Ownership ($0) = $687.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($174).
Total Amount
$687
General + Research + Ownership
Payments
26
Total payment records
General Amount
$687
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
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $174 |
| Bayer Healthcare Pharmaceuticals Inc. | $124 |
| Biogen, Inc. | $87 |
| Novo Nordisk Inc | $86 |
| RADIOMETER AMERICA, INC | $81 |
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: 2006-03-03
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 |
|---|---|---|---|---|
| I20060303000214 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 112 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 84 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 48 | 48 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 25 | 25 | $0 |
| 76856 | Complete ultrasound scan of pelvis | 20 | 18 | $0 |
Insurance plans in this area (ZIP 33433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| U R O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA |
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