GREGORY D RUDOLF (MD) – Pain Medicine Physician, NPI 1871524728
Pain Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for GREGORY D RUDOLF (MD)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
550 16th Ave Ste 100
Seattle, WA 981225636
Phone: (206) 320-2484
Fax: (206) 320-4568
Type: Location
530, Broadway, First Hill, Seattle, King County, Washington, 98122, United States
SEATTLE, WA 98122
Phone: (206) 386-2013
Fax: (206) 386-2149
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-08-17
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 |
|---|---|---|---|---|
| I20040817000840 | I | Family Practice | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 478 | 114 | $0 |
| 97813 | Acupuncture with electrical stimulation, initial 15 minutes | 260 | 49 | $0 |
| 97814 | Acupuncture with electrical stimulation, each additional 15 minutes | 260 | 49 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 174 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 153 | 77 | $0 |
Insurance plans in this area (ZIP 84125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| General Surgery | WA | |
| Orthopedic Surgery | WA | |
| P S Y C H I A T R Y | WA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | WA | |
| Hospitalist, Hospice/Palliative Care | WA | |
| Physician Assistant | WA | |
| N E U R O L O G Y | WA | |
| N E U R O L O G Y | WA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | ND |
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