MR. JUSTIN DAVID DUDLEY PA-C
NPI 1356798235
Physician Assistant in Albuquerque, NM

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-5062 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2021, Mar 17, 2018, May 19, 2016 (3 updates tracked since 2016).

About Mr. Justin David Dudley Pa-c NPPES

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

MR. JUSTIN DAVID DUDLEY PA-C (NPI 1356798235) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2018-0003) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356798235
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JUSTIN DAVID DUDLEYCredential: PA-C
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address1 University Of New Mexico # 116025Albuquerque, NM 87131-0001 · (505) 272-5560 · Fax (505) 272-6503
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 19, 2016
Last NPPES UpdateMarch 30, 20213 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1356798235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NM · PA2018-0003
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.
2211 LOMAS BLVD NE, Albuquerque, NM 87106

Other Identifiers 1

OtherPA2018-0003NM · Nm State License

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

Mr. Justin David 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 ID9133480155
PECOS Enrollment IDI20190121001398
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Justin Dudley's NPI number?

The NPI number for Justin Dudley is 1356798235. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Justin Dudley located?

Justin Dudley practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-5062.

What is Justin Dudley's specialty?

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

Is Justin Dudley enrolled in Medicare?

Yes. Justin 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.

When was this NPI record last updated?

The NPPES record for Justin Dudley was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.