DR. JOHN DAVID MUDROCK (M.D.) – Internal Medicine Physician, NPI 1780675751

DR. JOHN DAVID MUDROCK (M.D.) is a healthcare provider. based in Melrose, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 44046 (MA). The NPI Number for DR. JOHN DAVID MUDROCK (M.D.) is 1780675751

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN DAVID MUDROCK (M.D.)
NPI
1780675751
Phone
(781) 662-2310
Address
536 FRANKLIN ST
Enumeration Date
31 October 2005
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7816204888
Graduation Year
1978 (48 years ago)
PAC ID
1456307271
Group Practice PAC ID
4385638782
Professional Enrollment ID
I20050324000794
Address ID
MA018804080WA888XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for DR. JOHN DAVID MUDROCK (M.D.)

  • 520;524;526;534;536, Franklin Street, Melrose Highlands, Melrose, Middlesex County, Massachusetts, 02176, United States

    MELROSE, MA 021761741

    Phone: (781) 662-2310

    Type: Mailing

  • 888 MAIN ST STE 101

    WAKEFIELD, MA 018804080

    Phone: (781) 620-4888

    Fax: (781) 245-2602

    Type: Location

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: 2005-03-24

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
I20050324000794IInternal MedicineMATBD

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 minutes596278$0
36415Insertion of needle into vein for collection of blood sample406277$0
83036Hemoglobin a1c level342194$0
G0009Administration of pneumococcal vaccine137133$0
G0008Administration of influenza virus vaccine112111$0
View full utilization report →

Insurance plans in this area (ZIP 02176)

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Provider's Procedures

DR. JOHN DAVID MUDROCK (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMA90670Pneumococcal vaccine for injection into muscle2727

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: 4385638782View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Family PracticeNM
-MA
-MA
Family PracticeMA
-MA
Physician AssistantMA

Reviews

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Frequently asked questions

Does DR. JOHN DAVID MUDROCK (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN DAVID MUDROCK (M.D.) uses 1780675751.
Is DR. JOHN DAVID MUDROCK (M.D.) still practicing?
DR. JOHN DAVID MUDROCK (M.D.) is currently listed as active in the public NPI registry.
What is DR. JOHN DAVID MUDROCK (M.D.) best known for clinically?
Directory data describes DR. JOHN DAVID MUDROCK (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN DAVID MUDROCK (M.D.) list a practice location?
Patients near Melrose, Massachusetts may find DR. JOHN DAVID MUDROCK (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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