DR. THOMAS EDWARD DUDLEY (M.D.) – Orthopaedic Surgery Physician, NPI 1174727093

DR. THOMAS EDWARD DUDLEY (M.D.) is a healthcare provider. based in Alexandria, Minnesota. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 49706 (MN). The NPI Number for DR. THOMAS EDWARD DUDLEY (M.D.) is 1174727093

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS EDWARD DUDLEY (M.D.)
NPI
1174727093
Phone
(320) 762-1144
Address
111 17th Ave E
Enumeration Date
13 June 2007
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6087837300
Graduation Year
2002 (24 years ago)
PAC ID
6002908068
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20210326001202
Address ID
WI546015429LA1836XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

819 ORTHOPEDIC SURGERY in MN

Provider Addresses for DR. THOMAS EDWARD DUDLEY (M.D.)

  • 111 17th Ave E

    Ste 101

    Alexandria, MN 563083734

    Phone: (320) 762-1144

    Fax: (320) 762-1935

    Type: Location

  • 1836 SOUTH AVE

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • Douglas County Hopsital, 111, 17th Avenue East, Alexandria, Douglas County, Minnesota, 56308, United States

    STE 101

    ALEXANDRIA, MN 563083734

    Phone: (320) 762-1144

    Fax: (320) 762-1935

    Type: Mailing

  • 1200 GRANT BLVD W

    WABASHA, MN 559811042

    Phone: (608) 782-7300

    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 $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2023-02-24 • Largest payer in this snapshot: Stryker Corporation ($55).

Total Amount

$55

General + Research + Ownership

Payments

1

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$55
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: 2021-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070822000654IOrthopedic SurgeryMNTBD
I20210326001202IOrthopedic SurgeryWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11679$0
20610Aspiration and/or injection of fluid from large joint10361$0
99202New patient office or other outpatient visit, 15-29 minutes3535$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
27447Replacement of knee joint, both sides of knee1312$0
View full utilization report →

Insurance plans in this area (ZIP 56308)

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Provider's Procedures

DR. THOMAS EDWARD DUDLEY (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMN20610Aspiration and/or injection of large joint or joint capsule3726
ORTHOPEDIC SURGERYMN27447Repair of knee joint2222
ORTHOPEDIC SURGERYMN73562X-ray of knee, 3 views8056

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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

Is DR. THOMAS EDWARD DUDLEY (M.D.) listed with a National Provider Identifier?
Yes — DR. THOMAS EDWARD DUDLEY (M.D.) has NPI 1174727093 on file in the registry.
Active or inactive — what applies to DR. THOMAS EDWARD DUDLEY (M.D.)?
You should see DR. THOMAS EDWARD DUDLEY (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. THOMAS EDWARD DUDLEY (M.D.)?
DR. THOMAS EDWARD DUDLEY (M.D.)'s specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. THOMAS EDWARD DUDLEY (M.D.)?
Travel planning: use Alexandria, Minnesota as the reference point for DR. THOMAS EDWARD DUDLEY (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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