Active NPI 1275630568 Individual Practitioner Female Practitioner

Dr. Donna E Dudziak , MD

Surgery • Upland, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donna Dudziak, MD is a certified Surgery practicing in Upland, CA. With approximately 28 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1998, Dr. Dudziak delivers high-quality medical care to the local community at 901 SAN BERNARDINO RD.

Dr. Dudziak is affiliated with Wallace G Gosney Md And Gilbert R Turner Md Ptrs and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

901 San Bernardino Rd
Ste 301

Upland, CA 917864912

Telephone 9099466221

Fax 9099493802

Associated Practice Facility / Clinic

🏢 San Antonio Ambulatory Surgical Center, Llc Facility NPI 1063422962

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Upland, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -2.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Upland, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dudziak (28 Years) 28 Yrs

Upland Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$280.00	$119.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$280.00	$137.40
99213 Established patient office or other outpatient visit, typically 15 minutes	31	20	$225.00	$97.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$430.00	$177.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$835.00	$114.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$545.00	$180.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$280.00	$111.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	16	$200.00	$77.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$280.00	$126.06
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$225.00	$89.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$430.00	$165.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	11	$290.00	$116.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$545.00	$169.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$280.00	$117.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	13	$200.00	$72.93
99213 Established patient office or other outpatient visit, typically 15 minutes	24	17	$225.00	$94.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$545.00	$202.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$280.00	$115.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$280.00	$122.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$545.00	$206.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	11	$200.00	$75.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$280.00	$110.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$545.00	$210.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$280.00	$114.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	14	$200.00	$74.33
99213 Established patient office or other outpatient visit, typically 15 minutes	26	17	$225.00	$77.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$430.00	$169.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$545.00	$206.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$630.00	$212.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	13	$200.00	$72.87
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$225.00	$74.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$545.00	$202.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$630.00	$208.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$280.00	$109.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	31	$545.00	$202.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$200.00	$72.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	17	$290.00	$104.16
99213 Established patient office or other outpatient visit, typically 15 minutes	22	12	$225.00	$74.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$630.00	$207.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$430.00	$165.01

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A87866

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Wallace G Gosney Md And Gilbert R Turner Md Ptrs

901 San Bernardino Rd, Upland, CA 917867299

Phone: 9099466221

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Irene Houari , MD

Surgery

NPI 1104060466

Doctor of Medicine (M.D.)

Dr. Wallace Gosney , MD

Specialist

NPI 1417915778

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2016

Registered at 901 SAN BERNARDINO RD, STE 301, UPLAND, CA 917864912 (Tel: 9099466221)

📍

Updated Business Mailing Address May 24, 2016

Registered at 901 SAN BERNARDINO RD, STE 301, UPLAND, CA 917864912 (Tel: 9099466221)

👤

Provider Name / Credentials Updated May 24, 2016

Recorded as DONNA DUDZIAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Surgery (License #A87866 in CA)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Donna Dudziak. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1275630568

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2006

Last Update: May 24, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

901 San Bernardino Rd, Ste 301

Upland, CA 917864912

Phone: 9099466221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.