DUSTIN I JUDD (MD) – Orthopaedic Hand Surgery Physician, NPI 1013113323

DUSTIN I JUDD (MD) is a healthcare provider. based in Boise, Idaho. specializing in HAND SURGERY. They hold the professional credentials MD. They hold a License No. 25785 (OK). The NPI Number for DUSTIN I JUDD (MD) is 1013113323

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN I JUDD (MD)
NPI
1013113323
Phone
(208) 381-2222
Address
190 E BANNOCK ST
Enumeration Date
23 June 2007
Last Update Date
20 March 2017

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
2087062676
Graduation Year
2007 (19 years ago)
PAC ID
9638305220
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20131204002272
Address ID
ID837026722BO2619XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

17 HAND SURGERY in ID

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Provider Addresses for DUSTIN I JUDD (MD)

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

  • St. Luke’s Rehabilitation Hospital, 600, North Robbins Road, Boise, Ada County, Idaho, 83702, United States

    SUITE 100

    BOISE, ID 837024565

    Phone: (208) 383-0201

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Endo USA, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Endo USA, Inc.$18
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: 2013-12-04

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
I20131204002272IHand SurgeryIDTBD

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 minutes10598$0
99204New patient office or other outpatient visit, 45-59 minutes6262$0
64721Release and/or relocation of hand nerve5649$0
99213Established patient office or other outpatient visit, 20-29 minutes4736$0
26055Incision of tendon covering of finger4326$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)ID

Reviews

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Frequently asked questions

What number should I use to identify DUSTIN I JUDD (MD) for billing?
Administrative and clinical systems typically use NPI 1013113323 for DUSTIN I JUDD (MD).
Does the public listing show DUSTIN I JUDD (MD) as active?
DUSTIN I JUDD (MD)'s NPI record reflects an active status in NPPES.
What type of care does DUSTIN I JUDD (MD) provide?
DUSTIN I JUDD (MD)'s profile centers on Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DUSTIN I JUDD (MD)?
The directory associates DUSTIN I JUDD (MD) with Boise, Idaho. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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