BRIAN P DUDGEON PA
NPI 1629698717
Physician Assistant - Surgical in Middletown, NY

Q: What is Brian Dudgeon's NPI number?

The NPI number for Brian Dudgeon is 1629698717. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Brian Dudgeon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Brian Dudgeon was last updated on October 21, 2020. 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.

Active since April 20, 2020PECOS EnrolledAccepts Medicare Assignment

95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2020, Aug 11, 2020, Apr 20, 2020 (3 updates tracked since 2020).

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About Brian P Dudgeon Pa NPPES

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

BRIAN P DUDGEON PA (NPI 1629698717) is an individual surgical provider in Middletown, New York, licensed in New York (025433) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629698717

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameBRIAN P DUDGEONCredential: PA

Location Address95 CRYSTAL RUN RDMiddletown, NY 10941-7001

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 20, 2020

Last NPPES UpdateOctober 21, 20203 updates tracked since enumeration

NPPES CertifiedOctober 21, 2020

✔ NPI 1629698717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 025433

95 CRYSTAL RUN RD, Middletown, NY 10941

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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

Brian P Dudgeon Pa 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 ID7315366226

PECOS Enrollment IDI20200925002426

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 3

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.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

27 services27 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

19 services19 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330126

Location707 East Main StreetMiddletown, NY 10940 · Orange County

Emergency services Birthing friendly

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330205

Location15 Maple Avenue -19Warwick, NY 10990 · Orange County

Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330264

Location70 Dubois StreetNewburgh, NY 12550 · Orange County

Emergency services Birthing friendly

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.

RICHARD ESCANO P.T.

Physical Therapist