JASON ALEXANDER DUNDULIS (M.D.) – Gastroenterology Physician, NPI 1548421183
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
489 GASTROENTEROLOGY in MO
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Provider Addresses for JASON ALEXANDER DUNDULIS (M.D.)
1241, West Stadium Boulevard, Jefferson City, Cole County, Missouri, 65109, United States
JEFFERSON CITY, MO 651096023
Phone: (573) 635-5264
Type: Location
PO BOX 104240
JEFFERSON CITY, MO 651104240
Phone: (573) 635-5264
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 124 Open Payments records for all available years, with a total value of $1,884.
Total Amount is formed as General ($1,884) + Research ($0) + Ownership ($0) = $1,884.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($500).
Total Amount
$1,884
General + Research + Ownership
Payments
124
Total payment records
General Amount
$1,884
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-07-12
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 |
|---|---|---|---|---|
| I20110712000201 | I | Gastroenterology | MO | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 188 | 185 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 186 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 89 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 94 | 57 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 73 | 73 | $0 |
Insurance plans in this area (ZIP 65109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MO | 45378 | Diagnostic examination of large bowel using an endoscope | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Neuropsychiatry, Neurology | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Neuropsychiatry, Neurology | MO | |
| - | MO | |
| A L L E R G Y/ I M M U N O L O G Y | WA | |
| Nurse Practitioner | MO |
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