MARY BRANDT HUDELSON (M.D.) – Allergy & Immunology Physician, NPI 1679530372
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
390 ALLERGY/IMMUNOLOGY in TX
Provider Addresses for MARY BRANDT HUDELSON (M.D.)
3051 CHURCHILL DR STE 130
FLOWER MOUND, TX 750222710
Phone: (972) 539-0086
Fax: (972) 355-9680
Type: Mailing
209 N Bonnie Brae St Ste 100
Denton, TX 762013709
Phone: (972) 539-0086
Fax: (972) 355-9680
Type: Location
3051, Churchill Drive, Flower Mound, Denton County, Texas, 75022, United States
STE 130
FLOWER MOUND, TX 750222710
Phone: (972) 539-0086
Fax: (972) 355-9680
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 190 Open Payments records for all available years, with a total value of $7,241.
Total Amount is formed as General ($7,241) + Research ($0) + Ownership ($0) = $7,241.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ADMA BioManufacturing LLC ($2,795).
Total Amount
$7,241
General + Research + Ownership
Payments
190
Total payment records
General Amount
$7,241
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-04-19
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 |
|---|---|---|---|---|
| I20040419000185 | I | Allergy/Immunology | TX | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,440 | 99 | $0 |
| 95117 | Professional service for multiple injections of allergen | 962 | 68 | $0 |
| 95004 | Test for allergy using allergenic extract | 861 | 18 | $0 |
| 95115 | Professional service for single injection of allergen | 805 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 405 | 209 | $0 |
Insurance plans in this area (ZIP 75022)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | TX | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 370 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | TX | |
| Physician Assistant | TX | |
| A L L E R G Y/ I M M U N O L O G Y | TX | |
| - | TX | |
| - | TX | |
| A L L E R G Y/ I M M U N O L O G Y | TX | |
| Physician Assistant | TX |
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