BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1285132878

BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT) is a healthcare provider. based in York, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. MA059686 (PA). The NPI Number for BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT) is 1285132878

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)
NPI
1285132878
Phone
(717) 356-4460
Address
2149 S QUEEN ST
Enumeration Date
29 January 2018
Last Update Date
23 September 2019

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4106947999
Graduation Year
2017 (9 years ago)
PAC ID
0547521239
Group Practice PAC ID
5496091290
Professional Enrollment ID
I20210426001142
Address ID
MD210423614EL10120PIKE400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)

  • South York Diner, 2149, South Queen Street, Villas on the Lake, York, York County, Pennsylvania, 17403, United States

    YORK, PA 174034845

    Phone: (717) 356-4460

    Fax: (717) 260-3326

    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 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: PFIZER INC. ($26).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$26
Phadia US Inc.$19
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: 2023-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180220001654IPhysician AssistantPATBD
I20210426001142IPhysician AssistantMDTBD
I20230920001848IPhysician AssistantDCTBD

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
99285Emergency department visit with high level of medical decision making3434$0
99284Emergency department visit with moderate level of medical decision making2524$0
99214Established patient office or other outpatient visit, 30-39 minutes2120$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 17403)

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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: 5496091290View full group profile
NameSpecialtyState
Nurse PractitionerMD
Physician AssistantCA
-MD
Physician AssistantMD
Physician AssistantVA
Family Practice, Preventive MedicineMD
Nurse PractitionerMD
Family PracticeMD
Nurse PractitionerMD
Physician AssistantMD

Reviews

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Frequently asked questions

What is BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)'s NPI number?
BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)'s NPI is 1285132878 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)?
You should see BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT) as active in CMS-hosted NPPES data.
What area of care is associated with BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)?
BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)?
Directory geography for BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT) centers on York, Pennsylvania.
Can I trust this NPI listing for BENJAMIN THOMAS JUDD (PHYSICIAN ASSISTANT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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