1. Home
  2. Directory
  3. Washington
  4. Richland
  5. Family Medicine
  6. NPI Profile

JACK RYAN DOTSON DO
NPI 1164160990
Family Medicine in Richland, WA

Active since May 23, 2022PECOS EnrolledAccepts Medicare Assignment
940 NORTHGATE DR, RICHLAND, WA 99352(509) 942-2516(509) 942-2527 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2025, May 23, 2022 (2 updates tracked since 2022).

About Jack Ryan Dotson Do NPPES

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

JACK RYAN DOTSON DO (NPI 1164160990) is an individual family medicine provider in Richland, Washington, licensed in Washington (OP61458787) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164160990
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK RYAN DOTSONCredential: DO
Location Address940 NORTHGATE DRRichland, WA 99352-3505
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 473-0637 · Fax (509) 627-2983
Phone(509) 942-2516
Fax(509) 942-2527
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2022
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1164160990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP61458787
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
940 NORTHGATE DR, Richland, WA 99352
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Jack Ryan Dotson Do 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 ID4183004906
PECOS Enrollment IDI20250715001425
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 20

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

JENNIFER MORALES
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Benton County (509) 542-4571
EMILIA A. RAMIREZ MD
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Benton County (509) 942-2516
MUNIF A. ALMANSOOB
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Benton County (509) 942-2516
RUBICELIA PEREZ MD
Family Medicine
940 NORTHGATE DR
RICHLAND, WA 99352
Benton County (509) 942-2516
GARRETT J GARRITY D.O.
Family Medicine
940 NORTHGATE DR
RICHLAND, WA 99352
Benton County (509) 942-2516
BAHAR HAMIDI MD
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Benton County (509) 942-2516
ANTHONY PECH DO
Family Medicine
940 NORTHGATE DR
RICHLAND, WA 99352
Benton County (509) 942-2516
JULIE JANET VALDEZ
Student in an Organized Health Care Education/Training Program
940 NORTHGATE DR
RICHLAND, WA 99352
Benton County (509) 542-4571

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 Jack Dotson's NPI number?

The NPI number for Jack Dotson is 1164160990. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Jack Dotson located?

Jack Dotson practices at 940 Northgate Dr, Richland, WA 99352. The listed phone number is (509) 942-2516.

What is Jack Dotson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jack Dotson enrolled in Medicare?

Yes. Jack Dotson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Dotson accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jack Dotson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Dotson affiliated with any hospitals?

According to CMS data, Jack Dotson is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Dotson was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.