DR. PHILIP S DUDAK (DC, FNP-C) – Family Nurse Practitioner, NPI 1720067051
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for DR. PHILIP S DUDAK (DC, FNP-C)
5960, Howdershell Road, Hazelwood, Saint Louis County, Missouri, 63042, United States
204
HAZELWOOD, MO 630424100
Phone: (314) 895-4141
Fax: (314) 895-5040
Type: Mailing
2122 Troy Rd Ste 130
Edwardsville, IL 620252540
Phone: (314) 653-5228
Type: Location
5960 Howdershell Rd
204
Hazelwood, MO 630424100
Phone: (314) 895-4141
Fax: (314) 895-5040
Type: Location
11125 DUNN RD STE 100
SAINT LOUIS, MO 631366132
Phone: (314) 653-5228
Type: Mailing
11133 DUNN RD
SAINT LOUIS, MO 631366163
Phone: (314) 653-5228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 158 Open Payments records for all available years, with a total value of $4,699.
Total Amount is formed as General ($4,699) + Research ($0) + Ownership ($0) = $4,699.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: MML US, Inc. ($932).
Total Amount
$4,699
General + Research + Ownership
Payments
158
Total payment records
General Amount
$4,699
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
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: 2014-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20130620000254 | I | Nurse Practitioner | IL | TBD |
| I20140919001191 | I | Nurse Practitioner | MO | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 517 | 200 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 60 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 37 | 34 | $0 |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 29 | 20 | $0 |
| 62367 | Electronic analysis of spinal canal drug infusion pump | 25 | 18 | $0 |
Insurance plans in this area (ZIP 63042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Pain Management, Anesthesiology | MO | |
| Nurse Practitioner | MO | |
| A N E S T H E S I O L O G Y | IA | |
| Nurse Practitioner | IL |
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