DR. JASON W. RUDOLPH (MD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1023052446

DR. JASON W. RUDOLPH (MD) is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD067886L (PA). The NPI Number for DR. JASON W. RUDOLPH (MD) is 1023052446

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON W. RUDOLPH (MD)
NPI
1023052446
Phone
(610) 861-8080
Address
2775 SCHOENERSVILLE RD
Enumeration Date
15 June 2006
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
3678583630
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20100804000668
Address ID
PA180591124LA5649XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,620 ORTHOPEDIC SURGERY in PA

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Provider Addresses for DR. JASON W. RUDOLPH (MD)

  • Coordinated Health, 2775, Schoenersville Road, Westgate Hills, Bethlehem, Northampton County, Pennsylvania, 18017, United States

    BETHLEHEM, PA 180177307

    Phone: (610) 861-8080

    Fax: (610) 997-5762

    Type: Mailing

  • PO BOX 783311

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $11,095.

Total Amount is formed as General ($11,095) + Research ($0) + Ownership ($0) = $11,095.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Arthrex, Inc. ($7,324).

Total Amount

$11,095

General + Research + Ownership

Payments

54

Total payment records

General Amount

$11,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-08-04

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
I20100804000668IOrthopedic SurgeryPATBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg569136$0
99213Established patient office or other outpatient visit, 20-29 minutes476318$0
20610Aspiration and/or injection of fluid from large joint191121$0
99203New patient office or other outpatient visit, 30-44 minutes155155$0
73630X-ray of foot, minimum of 3 views12089$0
View full utilization report →

Insurance plans in this area (ZIP 18017)

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Provider's Procedures

DR. JASON W. RUDOLPH (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA73562X-ray of knee, 3 views8064
ORTHOPEDIC SURGERYPA73630X-ray of foot, minimum of 3 views8460

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: 3072425123View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. JASON W. RUDOLPH (MD)?
The registry entry for DR. JASON W. RUDOLPH (MD) shows NPI 1023052446.
Quick check: is DR. JASON W. RUDOLPH (MD) active?
Public NPPES data shows DR. JASON W. RUDOLPH (MD) with an active NPI status right now.
What does the directory say DR. JASON W. RUDOLPH (MD) does?
Insurance directories may phrase it differently, but here DR. JASON W. RUDOLPH (MD) maps to Orthopaedic Foot and Ankle Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. JASON W. RUDOLPH (MD) tied to Bethlehem, Pennsylvania?
If you are local to Bethlehem, Pennsylvania, DR. JASON W. RUDOLPH (MD) may be relevant to your search.
Can I export DR. JASON W. RUDOLPH (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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