NANCY D LODGE MD
NPI 1104973858
Pediatrics in Fredericktown, MO

Q: What is Nancy Lodge's NPI number?

The NPI number for Nancy Lodge is 1104973858. It was assigned to this individual provider in the NPPES registry on January 4, 2007. The provider is also known as Nancy Barnett MD.

Q: What is Nancy Lodge's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Lodge was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 04, 2007PECOS EnrolledAccepts Medicare Assignment

611 W MAIN ST, FREDERICKTOWN, MO 63645(573) 783-3341 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nancy D Lodge Md NPPES

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

NANCY D LODGE MD (NPI 1104973858) is an individual pediatrics provider in Fredericktown, Missouri, licensed in Arizona (31111) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (1990).

NPPES Registry Identity

NPI1104973858

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNANCY D LODGECredential: MD

Location Address611 W MAIN STFredericktown, MO 63645-1111

Mailing Address611 W Main StFredericktown, MO 63645-1111 · (573) 783-3341

Phone(573) 783-3341

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1990

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJune 5, 2015

✔ NPI 1104973858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 31111

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

611 W MAIN ST, Fredericktown, MO 63645

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Other Names 1

Former Name (1)Nancy Barnett Md

Other Identifiers 4

Other1Z9363AZ · Healthnet

Medicaid164351AZ

Other4575331AZ · Aetna Us Healthcare

OtherAZ0729800AZ · Blue Cross Blue Sheild

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Nancy D Lodge Md 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 ID7911022660

PECOS Enrollment IDI20121103000095

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 63645 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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Other Providers at the Same Location NPPES 19

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

CHARLES M WALBAUM CRNA

Nurse Anesthetist, Certified Registered