KIMBERLEE MUDGE (MD) – Surgery Physician, NPI 1366425316

KIMBERLEE MUDGE (MD) is a healthcare provider. based in York, Pennsylvania. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD053182L (PA). The NPI Number for KIMBERLEE MUDGE (MD) is 1366425316

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEE MUDGE (MD)
NPI
1366425316
Phone
(717) 741-3449
Address
25 MONUMENT RD
Enumeration Date
23 November 2005
Last Update Date
25 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7177822143
Graduation Year
1991 (35 years ago)
PAC ID
3072537687
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20100921001144
Address ID
PA171101904HA2501XFLOO601

Contacts

Secure Messaging
kmudge65642@phsdirect.pinnaclehealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,999 GENERAL SURGERY in PA

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Provider Addresses for KIMBERLEE MUDGE (MD)

  • Apple Hill Medical Center, 25, Monument Road, Chanticleer, York, York County, Pennsylvania, 17403, United States

    SUITE 260

    YORK, PA 174035060

    Phone: (717) 741-3449

    Fax: (717) 741-5496

    Type: Location

  • 25 Monument Rd

    SUITE 260

    York, PA 174035060

    Phone: (717) 741-3449

    Fax: (717) 741-5496

    Type: Location

  • 2, South 2nd Street, Harrisburg, Dauphin County, Pennsylvania, 17104, United States

    HARRISBURG, PA 171041612

    Phone: (717) 741-3449

    Fax: (717) 741-5496

    Type: Mailing

  • 1703 INNOVATION DRIVE

    SUITE 3136

    YORK, PA 174088815

    Phone: (717) 741-3449

    Fax: (717) 741-5496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $251.

Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.

Last reported payment date: 2023-12-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($124).

Total Amount

$251

General + Research + Ownership

Payments

6

Total payment records

General Amount

$251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-22

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: 2010-09-21

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
I20100921001144IGeneral 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
99213Established patient office or other outpatient visit, 20-29 minutes474416$0
38900Imaging of lymph nodes during surgery3030$0
19301Partial removal of breast2824$0
93702Measurement of lymphedema extracellular fluid2816$0
99205New patient office or other outpatient visit, 60-74 minutes2828$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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What NPI should I save for KIMBERLEE MUDGE (MD)?
Save NPI 1366425316 if you need a stable reference for KIMBERLEE MUDGE (MD).
Is KIMBERLEE MUDGE (MD) currently active in the NPI registry?
CMS-published data lists KIMBERLEE MUDGE (MD) as an active registrant.
Does KIMBERLEE MUDGE (MD) list a primary specialty?
If you are matching referrals, note Surgery Physician for KIMBERLEE MUDGE (MD). Clinical services aligned with this taxonomy classification.
Where is KIMBERLEE MUDGE (MD)'s primary listing?
We display York, Pennsylvania because that is what the record indicates for KIMBERLEE MUDGE (MD).
What if York, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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