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KELLY DOTSON
NPI 1164230504
Physician Assistant in Dallas, TX

Active since December 18, 2024PECOS Enrolled
3900 JUNIUS ST STE 705, DALLAS, TX 75246(972) 817-7450 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Dotson NPPES

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

KELLY DOTSON (NPI 1164230504) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA20072) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164230504
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY DOTSON
Location Address3900 JUNIUS ST STE 705Dallas, TX 75246-1627
Mailing Address3900 Junius St Ste 705Dallas, TX 75246-1627 · (972) 817-7450
Phone(972) 817-7450
Sole ProprietorNo
Enumeration DateDecember 18, 2024
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1164230504 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 TX · PA20072
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.
3900 JUNIUS ST STE 705, Dallas, TX 75246
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Dotson 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 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

HEALTHTEXAS PROVIDER NETWORK
Durable Medical Equipment & Medical Supplies
3900 JUNIUS ST STE 705
DALLAS, TX 75246
Dallas County (972) 817-7450
KYRA LANE BOWDEN
Physician Assistant
3900 JUNIUS ST STE 705
DALLAS, TX 75246
Dallas County (972) 817-7450
STEPHEN G FOSTER PA-C
Physician Assistant (Surgical)
3900 JUNIUS ST STE 705
DALLAS, TX 75246
Dallas County (770) 732-5500

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 Kelly Dotson's NPI number?

The NPI number for Kelly Dotson is 1164230504. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Kelly Dotson located?

Kelly Dotson practices at 3900 Junius St Ste 705, Dallas, TX 75246. The listed phone number is (972) 817-7450.

What is Kelly Dotson's specialty?

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

Is Kelly Dotson enrolled in Medicare?

Yes. Kelly Dotson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Dotson was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.