SARAH ELLSWORTH DUDLEY PA-C
NPI 1124599451
Physician Assistant in Kettering, OH

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429(937) 643-9299(937) 643-2343 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Jan 24, 2019, Dec 16, 2018 (3 updates tracked since 2018).

About Sarah Ellsworth Dudley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH ELLSWORTH DUDLEY PA-C (NPI 1124599451) is an individual physician assistant in Kettering, Ohio and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124599451
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSARAH ELLSWORTH DUDLEYCredential: PA-C
Location Address3700 SOUTHERN BLVD STE 300Kettering, OH 45429-1265
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Fax(937) 643-2343
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 16, 2018
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
NPI 1124599451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3700 SOUTHERN BLVD STE 300, Kettering, OH 45429

Secondary Practice Locations 2

Location 130 E Apple St Ste 5254ADayton, OH 45409-2939 · Phone (937) 208-4200 · Fax (937) 208-4205
Location 230 E Apple St Ste 5254Dayton, OH 45409 · Phone (937) 208-4200 · Fax (937) 208-2678

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sarah Ellsworth Dudley Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527306703
PECOS Enrollment IDI20190213002117
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services45 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
43 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services33 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
19 services14 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
19 services18 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Clinical Nurse Specialist (Adult Health)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
DAYTON, OH 45429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Dudley's NPI number?

The NPI number for Sarah Dudley is 1124599451. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Sarah Dudley located?

Sarah Dudley practices at 3700 Southern Blvd Ste 300, Kettering, OH 45429. The listed phone number is (937) 643-9299.

What is Sarah Dudley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sarah Dudley enrolled in Medicare?

Yes. Sarah Dudley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sarah Dudley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Sarah Dudley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sarah Dudley affiliated with any hospitals?

According to CMS data, Sarah Dudley is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg, Soin Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Sarah Dudley was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.