MR. BENJAMIN W. DUDYCHA (M.D.) – Interventional Pain Medicine Physician, NPI 1750572681
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
755 PAIN MANAGEMENT in TX
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Provider Addresses for MR. BENJAMIN W. DUDYCHA (M.D.)
University Drive East, Bryan, Brazos County, Texas, 77802, United States
BRYAN, TX 778023470
Phone: (979) 764-7246
Fax: (979) 764-7242
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 21 Open Payments records for all available years, with a total value of $330.
Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Medtronic, Inc. ($211).
Total Amount
$330
General + Research + Ownership
Payments
21
Total payment records
General Amount
$330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $211 |
| Boston Scientific Corporation | $119 |
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: 2009-04-22
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 |
|---|---|---|---|---|
| I20090422000601 | I | Pain Management | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,434 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 57 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 102 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 35 | 27 | $0 |
Insurance plans in this area (ZIP 77802)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | TX | 62311 | Injections of substances into lower or sacral spine | 61 | 33 |
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