JASON DAVID MUDGE (PA) – Surgical Physician Assistant, NPI 1912638214
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
Provider Addresses for JASON DAVID MUDGE (PA)
46 Barra Rd Ste 103
Biddeford, ME 040059461
Phone: (207) 283-1126
Fax: (207) 294-3544
Type: Location
25 June St
Sanford, ME 040732621
Phone: (207) 324-4310
Type: Location
1 Medical Center Dr
Biddeford, ME 040059422
Phone: (207) 283-7937
Fax: (207) 283-7018
Type: Location
22 Bramhall St
Portland, ME 041023134
Phone: (207) 662-4618
Fax: (207) 662-6254
Type: Location
15 Lund Rd
Saco, ME 040721806
Phone: (207) 294-8960
Fax: (207) 294-8965
Type: Location
887 Congress St Ste 400
Portland, ME 041023163
Phone: (207) 774-6368
Fax: (207) 774-9388
Type: Location
22 BRAMHALL ST
PORTLAND, ME 041023134
Phone: (207) 662-2934
Fax: (207) 662-6389
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-12-01
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 |
|---|---|---|---|---|
| I20221201000446 | I | Physician Assistant | ME | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 32 | 21 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 04005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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