DR. JOHN DUDLEY (M.D.) – Interventional Cardiology Physician, NPI 1679923254
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL
Provider Addresses for DR. JOHN DUDLEY (M.D.)
320 RACETRACK RD NW STE 100D
FORT WALTON BEACH, FL 325471796
Phone: (448) 202-6100
Fax: (448) 202-6101
Type: Mailing
1514 JEFFERSON HWY
NEW ORLEANS, LA 701212429
Phone:
Type: Mailing
Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States
PROVIDENCE, RI 029034923
Phone: (401) 444-4741
Fax: (401) 444-4445
Type: Mailing
129 E REDSTONE AVE STE A
CRESTVIEW, FL 325395350
Phone: (850) 682-7212
Fax: (850) 682-0220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $4,239.
Total Amount is formed as General ($4,239) + Research ($0) + Ownership ($0) = $4,239.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($2,073).
Total Amount
$4,239
General + Research + Ownership
Payments
85
Total payment records
General Amount
$4,239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $2,073 |
| Boston Scientific Corporation | $343 |
| W. L. Gore & Associates, Inc. | $342 |
| ABIOMED | $248 |
| Medtronic, Inc. | $190 |
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: 2023-08-03
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 |
|---|---|---|---|---|
| I20230803000177 | I | Interventional Cardiology | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 510 | 505 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 167 | 128 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 150 | 118 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 135 | 80 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 116 | 114 | $0 |
Insurance plans in this area (ZIP 32547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Thoracic Surgery | FL | |
| O T O L A R Y N G O L O G Y | TX | |
| Nurse Practitioner | FL | |
| Critical Care (Intensivists), General Surgery | NV | |
| Nurse Practitioner | LA | |
| - | FL | |
| - | FL |
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