DR. MICHELLE DUDEVOIR (MD) – Orthopaedic Surgery Physician, NPI 1508282591

DR. MICHELLE DUDEVOIR (MD) is a healthcare provider. based in Joint base lewis mcchord, Washington. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. DR.0067606 (CO). The NPI Number for DR. MICHELLE DUDEVOIR (MD) is 1508282591

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE DUDEVOIR (MD)
NPI
1508282591
Phone
Not provided
Address
9040 FITZSIMMONS DR
Enumeration Date
13 March 2014
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Secondary Phone
7197767846
Graduation Year
2014 (12 years ago)
PAC ID
6204123938
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20220422000885
Address ID
CO809091174CO3010XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:12State licenses:1Digital endpointsOther names

779 ORTHOPEDIC SURGERY in WA

Provider Addresses for DR. MICHELLE DUDEVOIR (MD)

  • 9040 FITZSIMMONS DR

    JOINT BASE LEWIS MCCHORD, WA 984311000

    Phone:

    Type: Mailing

  • 3010 N CIRCLE DR STE 100

    COLORADO SPRINGS, CO 809091174

    Phone: (719) 776-7846

    Fax: (719) 776-3456

    Type: Location

  • 1650 COCHRANE CIR

    COLORADO SPRINGS, CO 809134613

    Phone: (719) 526-7440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Integra LifeSciences Corporation ($24).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

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

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: 2022-04-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220422000885IOrthopedic SurgeryCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98431)

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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: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

Is DR. MICHELLE DUDEVOIR (MD) listed with a National Provider Identifier?
Yes — DR. MICHELLE DUDEVOIR (MD) has NPI 1508282591 on file in the registry.
Is there an active status for DR. MICHELLE DUDEVOIR (MD)?
For scheduling context, DR. MICHELLE DUDEVOIR (MD) is shown as active in the registry.
What kind of doctor is DR. MICHELLE DUDEVOIR (MD)?
DR. MICHELLE DUDEVOIR (MD) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is DR. MICHELLE DUDEVOIR (MD) registered?
Use Joint Base Lewis Mcchord, Washington as the headline location for DR. MICHELLE DUDEVOIR (MD) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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