DR. JAMES ELTON KUDERER (D.O.) – Otolaryngology Physician, NPI 1972748119

DR. JAMES ELTON KUDERER (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in OTOLARYNGOLOGY. They hold the professional credentials D.O.. They hold a License No. 56609 (MN). The NPI Number for DR. JAMES ELTON KUDERER (D.O.) is 1972748119

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES ELTON KUDERER (D.O.)
NPI
1972748119
Phone
(215) 871-6690
Address
4170 CITY AVE
Enumeration Date
2 December 2008
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
3205891313
Graduation Year
2008 (18 years ago)
PAC ID
2365688017
Group Practice PAC ID
3678475852
Professional Enrollment ID
I20131114000915
Address ID
MN562671408MO400XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

641 OTOLARYNGOLOGY in PA

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Provider Addresses for DR. JAMES ELTON KUDERER (D.O.)

  • PCOM Evans Hall, 4170, City Avenue, Pencoyd, Philadelphia, Philadelphia County, Pennsylvania, 19131, United States

    C/O GRADUATE MEDICAL EDUCATION

    PHILADELPHIA, PA 191311610

    Phone: (215) 871-6690

    Type: Mailing

  • 3800 PARK NICOLLET BLVD

    ST LOUIS PARK, MN 554162527

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $419.

Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.

Last reported payment date: 2024-09-29 • Largest payer in this snapshot: AERIN MEDICAL INC. ($146).

Total Amount

$419

General + Research + Ownership

Payments

5

Total payment records

General Amount

$419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-29

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: 2013-11-14

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
I20131114000915IOtolaryngologyMNTBD

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 minutes3730$0
31231Diagnostic exam of nasal passages using an endoscope3024$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
69210Removal of impacted ear wax2319$0
31575Diagnostic exam of voice box using a flexible endoscope2221$0
View full utilization report →

Insurance plans in this area (ZIP 19131)

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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: 3678475852View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineMN
Family PracticeMN
Family PracticeMN
Emergency MedicineNY
General SurgeryMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Certified Nurse Midwife (Cnm)MN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Where can patients find DR. JAMES ELTON KUDERER (D.O.)'s NPI?
You can confirm DR. JAMES ELTON KUDERER (D.O.) with NPI 1972748119; it appears in the national provider directory.
Is DR. JAMES ELTON KUDERER (D.O.) currently active in the NPI registry?
CMS-published data lists DR. JAMES ELTON KUDERER (D.O.) as an active registrant.
Can you summarize DR. JAMES ELTON KUDERER (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. JAMES ELTON KUDERER (D.O.) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JAMES ELTON KUDERER (D.O.) practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for DR. JAMES ELTON KUDERER (D.O.) alongside any extra practice locations.
Is DR. JAMES ELTON KUDERER (D.O.) a real provider?
This page reflects official NPPES data for NPI 1972748119. Always confirm identity and privileges with the practice and licensing boards.

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