DAVID J. HUDDLESTON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1033170998

DAVID J. HUDDLESTON (MD) is a healthcare provider. based in Decatur, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 036092804 (IL). The NPI Number for DAVID J. HUDDLESTON (MD) is 1033170998

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DAVID J. HUDDLESTON (MD)
NPI
1033170998
Phone
(217) 464-2966
Address
1800 E Lake Shore Dr
Enumeration Date
30 March 2006
Last Update Date
5 August 2019

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6152214400
Graduation Year
1991 (35 years ago)
PAC ID
0941495766
Group Practice PAC ID
0648167544
Professional Enrollment ID
I20190916002345
Address ID
NC283043424FA1638XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

766 PATHOLOGY in IL

Provider Addresses for DAVID J. HUDDLESTON (MD)

  • 1800 E Lake Shore Dr

    Decatur, IL 625213883

    Phone: (217) 464-2966

    Fax: (217) 464-3193

    Type: Location

  • Virginia Way, Iroquois Estates, Brentwood, Williamson County, Tennessee, 37027, United States

    BRENTWOOD, TN 370277542

    Phone: (615) 221-4400

    Type: Mailing

  • Cape Fear Valley Medical Center, 1638, Owen Drive, Bordeaux, Fayetteville, Cumberland County, North Carolina, 28304, United States

    FAYETTEVILLE, NC 28304

    Phone: (615) 221-4400

    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 $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Beckman Coulter, Inc. ($81).

Total Amount

$81

General + Research + Ownership

Payments

1

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Beckman Coulter, Inc.$81
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: 2022-08-31

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
I20101105001139IPathologyILTBD
I20190916002345IPathologyNCTBD
I20220831000995IPathologyGATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,144641$0
88341Special stained specimen slides to examine tissue, each additional procedure20672$0
88307Pathology examination of tissue using a microscope, moderately high complexity201131$0
88112Cell examination of specimen, selective cellular enhancement technique175154$0
88304Pathology examination of tissue using a microscope, moderately low complexity165150$0
View full utilization report →

Insurance plans in this area (ZIP 62521)

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Provider's Procedures

DAVID J. HUDDLESTON (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIL88342Tissue or cell analysis by immunologic technique5248

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: 0648167544View full group profile
NameSpecialtyState
P A T H O L O G YTN
-TN
P A T H O L O G YSC
P A T H O L O G YTN
P A T H O L O G YAL
P A T H O L O G YTN
P A T H O L O G YKY
P A T H O L O G YMO
-TN
-TN

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Frequently asked questions

What is the standard ID for DAVID J. HUDDLESTON (MD) in the U.S.?
In the U.S., DAVID J. HUDDLESTON (MD) is identified by NPI 1033170998.
Should I treat DAVID J. HUDDLESTON (MD) as an active provider?
Patients and plans typically see DAVID J. HUDDLESTON (MD) as active in the national extract.
What type of care does DAVID J. HUDDLESTON (MD) provide?
DAVID J. HUDDLESTON (MD)'s profile centers on Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DAVID J. HUDDLESTON (MD)?
DAVID J. HUDDLESTON (MD) shows a connection to Decatur, Illinois in registry-derived data.
Who maintains DAVID J. HUDDLESTON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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