Jaclyn Rudzinski, MD
NPI 1063649721ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Irving, TX
Pathology, Anatomic Pathology & Clinical Pathology (MD) in Irving, Texas, trained at University of Texas Southwestern Medical School at Dallas (class of 2009). Medicare paid $41,883 for services to 366 patients in 2024.
Overview
| NPI | 1063649721 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 19, 2009 |
| Last updated in NPPES | Apr 20, 2022 |
| Certified by provider | Apr 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | Q4776 | TX |
| Pathology, Cytopathology | 207ZC0500X | Q4776 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 366 |
|---|---|
| Services billed | 1,649 across 27 procedure codes |
| Paid by Medicare | $41,883 |
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Pathology |
Medical group
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
Hospital affiliations
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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