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JEANNINE MISUTKA DODDS
NPI 1043412976
Physician Assistant in Cincinnatus, NY

Active since June 04, 2007PECOS Enrolled
2809 CINCINNATUS RD, CINCINNATUS, NY 13040(607) 863-3200(607) 863-3455 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2022, Dec 13, 2017, Feb 17, 2016 (3 updates tracked since 2016).

About Jeannine Misutka Dodds NPPES

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

JEANNINE MISUTKA DODDS (NPI 1043412976) is an individual physician assistant in Cincinnatus, New York, licensed in New York (012300) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043412976
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJEANNINE MISUTKA DODDS
Location Address2809 CINCINNATUS RDCincinnatus, NY 13040-9685
Mailing Address85 South West StreetHomer, NY 13077-0000 · (607) 753-3797 · Fax (607) 753-6677
Phone(607) 863-3200
Fax(607) 863-3455
Sole ProprietorNo
Enumeration DateJune 4, 2007
Last NPPES UpdateApril 28, 20223 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1043412976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 012300
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.
2809 CINCINNATUS RD, Cincinnatus, NY 13040
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Other Identifiers 1

Medicaid03433754NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannine Misutka Dodds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13040 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 3

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

ALLISON CLAIRE FIELD
Speech-Language Pathologist
2809 CINCINNATUS RD
CINCINNATUS, NY 13040
Cortland County (607) 863-3200
CINCINNATUS CENTRAL SCHOOL DISTRICT
Local Education Agency (LEA)
2809 CINCINNATUS RD
CINCINNATUS, NY 13040
Cortland County (607) 863-3200
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2809 CINCINNATUS RD
CINCINNATUS, NY 13040
Cortland County (607) 863-3200

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 Jeannine Dodds's NPI number?

The NPI number for Jeannine Dodds is 1043412976. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Jeannine Dodds located?

Jeannine Dodds practices at 2809 Cincinnatus Rd, Cincinnatus, NY 13040. The listed phone number is (607) 863-3200.

What is Jeannine Dodds's specialty?

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

Is Jeannine Dodds enrolled in Medicare?

Yes. Jeannine Dodds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeannine Dodds was last updated on April 28, 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.