KENNETH G JR. JUDSON (DO) – Clinical Cardiac Electrophysiology Physician, NPI 1770525891

KENNETH G JR. JUDSON (DO) is a healthcare provider. based in Cumberland, Maryland. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials DO. They hold a License No. OS010445L (PA). The NPI Number for KENNETH G JR. JUDSON (DO) is 1770525891

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH G JR. JUDSON (DO)
NPI
1770525891
Phone
(240) 964-8740
Address
12502 WILLOWBROOK RD
Enumeration Date
12 June 2006
Last Update Date
22 December 2022

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
3045998802
Graduation Year
1998 (28 years ago)
PAC ID
2961434071
Group Practice PAC ID
9638073380
Professional Enrollment ID
I20160204000563
Address ID
MD215411713MC2501XDRXX401
Telehealth
Yes

Contacts

Secure Messaging
judsonk@direct.monhealthsys.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

92 CARDIAC ELECTROPHYSIOLOGY in MD

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Provider Addresses for KENNETH G JR. JUDSON (DO)

  • 12502, Willowbrook Road, Cumberland, Allegany County, Maryland, 21502, United States

    SUITE 400

    CUMBERLAND, MD 215026491

    Phone: (240) 964-8740

    Fax: (240) 964-8741

    Type: Location

  • 12502 Willowbrook Rd

    Suite 400

    Cumberland, MD 215026491

    Phone: (240) 964-8740

    Fax: (240) 964-8741

    Type: Location

  • 2501 Deep Creek Dr Ste 200

    Mc Henry, MD 215411713

    Phone: (304) 636-5006

    Fax: (304) 636-4898

    Type: Location

  • 1200 J D Anderson Dr

    Morgantown, WV 265053494

    Phone: (304) 598-1996

    Fax: (304) 285-2107

    Type: Location

  • 501 Railroad Ave

    Elkins, WV 262413885

    Phone: (304) 636-5006

    Fax: (304) 636-4898

    Type: Location

  • 1 Huntington Way Ste 100

    Fairmont, WV 265548819

    Phone: (304) 363-6210

    Fax: (304) 363-0952

    Type: Location

  • 2000 MON HEALTH MEDICAL PARK DR STE 2300

    MORGANTOWN, WV 265051168

    Phone: (304) 599-8802

    Fax: (304) 599-5607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 102 Open Payments records for all available years, with a total value of $2,362.

Total Amount is formed as General ($2,362) + Research ($0) + Ownership ($0) = $2,362.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Boston Scientific Corporation ($637).

Total Amount

$2,362

General + Research + Ownership

Payments

102

Total payment records

General Amount

$2,362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2016-02-04

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
I20050908000998ICardiac ElectrophysiologyWVTBD
I20060718000017ICardiac ElectrophysiologyPATBD
I20160204000563ICardiac ElectrophysiologyMDTBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report857599$0
99213Established patient office or other outpatient visit, 20-29 minutes394286$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days326264$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days270210$0
93288Evaluation of single, dual, multiple lead or leadless pacemaker system208161$0
View full utilization report →

Insurance plans in this area (ZIP 21502)

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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: 9638073380View full group profile
NameSpecialtyState
Vascular Surgery, Thoracic Surgery, General SurgeryWV
General SurgeryPA
-WV
Family PracticeWV
Internal Medicine, Pediatric MedicineWV
-WV
-WV
O P H T H A L M O L O G YWV
-MD
-WV

Reviews

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Frequently asked questions

Can I verify KENNETH G JR. JUDSON (DO) with an NPI only?
You can start verification with NPI 1770525891 for KENNETH G JR. JUDSON (DO), then check state licensing separately.
Does the file indicate KENNETH G JR. JUDSON (DO) is practicing under active NPI?
Directory data currently reports KENNETH G JR. JUDSON (DO) as active.
What is KENNETH G JR. JUDSON (DO) best known for clinically?
Directory data describes KENNETH G JR. JUDSON (DO) with Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KENNETH G JR. JUDSON (DO) on a map?
Expect Cumberland, Maryland as a primary anchor for KENNETH G JR. JUDSON (DO) unless the record lists multiple sites.
Is the information about KENNETH G JR. JUDSON (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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