DR. JOANN C DUDLEY (MD) – Obstetrics & Gynecology Physician, NPI 1962517128
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
797 OBSTETRICS/GYNECOLOGY in WI
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Provider Addresses for DR. JOANN C DUDLEY (MD)
915, Summit Avenue, Oconomowoc, Waukesha County, Wisconsin, 53066, United States
OCONOMOWOC, WI 530663921
Phone: (262) 560-3700
Fax: (262) 569-2266
Type: Location
S48W34533, Rue Chantilly, Dousman, Town of Ottawa, Waukesha County, Wisconsin, 53118, United States
DOUSMAN, WI 531189620
Phone: (262) 244-7457
Fax: (414) 671-8860
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Astellas Pharma US Inc ($101).
Total Amount
$171
General + Research + Ownership
Payments
7
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $101 |
| Axonics, Inc. | $20 |
| Sage Therapeutics, Inc. | $20 |
| ABBVIE INC. | $17 |
| Minerva Surgical, Inc | $13 |
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: 2019-02-25
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 |
|---|---|---|---|---|
| I20190225000047 | I | Obstetrics/Gynecology | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 50 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 29 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 19 | 19 | $0 |
| 57160 | Fitting and insertion of vaginal support device | 18 | 18 | $0 |
Insurance plans in this area (ZIP 53066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | VA | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Certified Nurse Midwife (Cnm) | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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