JOSE N JR. PRUDENCIO (M.D.) – Urology Physician, NPI 1376590588
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
620 UROLOGY in PA
Provider Addresses for JOSE N JR. PRUDENCIO (M.D.)
815 SIR THOMAS CT STE 200
HARRISBURG, PA 171094839
Phone: (717) 724-0720
Fax: (717) 724-0730
Type: Location
Linglestown Road, Harrisburg, Dauphin County, Pennsylvania, 17110, United States
SUITE 120
HARRISBURG, PA 171109499
Phone: (717) 540-1944
Fax: (717) 540-1328
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $343.
Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($258).
Total Amount
$343
General + Research + Ownership
Payments
17
Total payment records
General Amount
$343
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $258 |
| PFIZER INC. | $29 |
| Merck Sharp & Dohme LLC | $25 |
| COLOPLAST CORP | $15 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2005-10-28
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 |
|---|---|---|---|---|
| I20051028000141 | I | Urology | PA | 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 |
|---|---|---|---|---|
| J9171 | Injection, docetaxel, 1 mg | 874 | 13 | $0 |
| 81003 | Automated urinalysis test | 529 | 397 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 441 | 354 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 421 | 330 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 188 | 161 | $0 |
Insurance plans in this area (ZIP 17109)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | PA | |
| Emergency Medicine, Family Practice, Internal Medicine, Emergency Medicine | PA | |
| Family Practice, Hospice/Palliative Care | PA | |
| - | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Internal Medicine, Nephrology | PA | |
| - | PA | |
| - | PA | |
| Emergency Medicine | PA |
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