DR. JUSTIN MICHAEL WUDEL (MD) – Specialist, NPI 1104099381

DR. JUSTIN MICHAEL WUDEL (MD) is a healthcare provider. based in Edina, Minnesota. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. The NPI Number for DR. JUSTIN MICHAEL WUDEL (MD) is 1104099381

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN MICHAEL WUDEL (MD)
NPI
1104099381
Phone
(952) 227-3639
Address
7300 FRANCE AVE S
Enumeration Date
8 April 2008
Last Update Date
10 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9528325252
Graduation Year
2008 (18 years ago)
PAC ID
9335383066
Group Practice PAC ID
3072518992
Professional Enrollment ID
I20140723002614
Address ID
MN554354504ED7300XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

147 PLASTIC AND RECONSTRUCTIVE SURGERY in MN

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Provider Addresses for DR. JUSTIN MICHAEL WUDEL (MD)

  • 7300 France, 7300, France Avenue South, Parklawn, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 410

    EDINA, MN 554354544

    Phone: (952) 227-3639

    Fax: (952) 548-5254

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $6,093.

Total Amount is formed as General ($6,093) + Research ($0) + Ownership ($0) = $6,093.

Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Stryker Corporation ($6,093).

Total Amount

$6,093

General + Research + Ownership

Payments

8

Total payment records

General Amount

$6,093

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$6,093
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: 2014-07-23

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
I20140723002614IPlastic And Reconstructive SurgeryMNTBD

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 minutes2118$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
31231Diagnostic exam of nasal passages using an endoscope1715$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 3072518992View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
Qualified AudiologistMN
Nurse PractitionerMN
Physician AssistantMN
Qualified AudiologistMN
O T O L A R Y N G O L O G YMN
O T O L A R Y N G O L O G YMN
Nurse PractitionerMN
-MN

Reviews

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Frequently asked questions

Where can patients find DR. JUSTIN MICHAEL WUDEL (MD)'s NPI?
You can confirm DR. JUSTIN MICHAEL WUDEL (MD) with NPI 1104099381; it appears in the national provider directory.
Is DR. JUSTIN MICHAEL WUDEL (MD)'s NPI currently valid?
The extract we use shows DR. JUSTIN MICHAEL WUDEL (MD) as active.
Does DR. JUSTIN MICHAEL WUDEL (MD) list a primary specialty?
If you are matching referrals, note Other Service Providers for DR. JUSTIN MICHAEL WUDEL (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JUSTIN MICHAEL WUDEL (MD)?
We surface Edina, Minnesota for DR. JUSTIN MICHAEL WUDEL (MD) based on available NPPES addresses.
Is DR. JUSTIN MICHAEL WUDEL (MD) a real provider?
This page reflects official NPPES data for NPI 1104099381. Always confirm identity and privileges with the practice and licensing boards.

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