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MR. THOMAS EDWARD DODSWORTH RN, ANP
NPI 1093027542
Nurse Practitioner - Adult Health in Fairfax, CA

Active since July 12, 2010PECOS Enrolled
41 AZALEA AVE, FAIRFAX, CA 94930(510) 381-6346 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Thomas Edward Dodsworth Rn, Anp NPPES

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

MR. THOMAS EDWARD DODSWORTH RN, ANP (NPI 1093027542) is an individual adult health provider in Fairfax, California, licensed in California (19160) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093027542
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. THOMAS EDWARD DODSWORTHCredential: RN, ANP
Location Address41 AZALEA AVEFairfax, CA 94930-1527
Mailing Address41 Azalea AveFairfax, CA 94930-1527 · (510) 381-6346
Phone(510) 381-6346
Sole ProprietorYes
Enumeration DateJuly 12, 2010
Last NPPES UpdateJune 2, 2016
✔ NPI 1093027542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 19160
41 AZALEA AVE, Fairfax, CA 94930
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas Edward Dodsworth Rn, Anp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Thomas Dodsworth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California
4.2 mi
Emergency Medicine
250 BON AIR RD
Greenbrae, CA 94904
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1417975319 (415) 925-7000
Ucsf Medical Group Business Services
17 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
University Of California San Francisco
17 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1164512851 (415) 476-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94930 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Thomas Dodsworth's NPI number?

The NPI number for Thomas Dodsworth is 1093027542. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Thomas Dodsworth located?

Thomas Dodsworth practices at 41 Azalea Ave, Fairfax, CA 94930. The listed phone number is (510) 381-6346.

What is Thomas Dodsworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thomas Dodsworth enrolled in Medicare?

Yes. Thomas Dodsworth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Dodsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Dodsworth reassigns Medicare benefits to 3 organizations: Cep America - California (Greenbrae, CA), Ucsf Medical Group Business Services (San Francisco, CA) and University Of California San Francisco (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Dodsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Dodsworth was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.