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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERT DODGE O.D.
NPI 1164424370
Optometrist in Coon Rapids, MN

Active since June 01, 2005PECOS Enrolled
12737 RIVERDALE BLVD NW, COON RAPIDS, MN 55448(763) 433-3468 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Dodge O.d. NPPES

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

ROBERT DODGE O.D. (NPI 1164424370) is an individual optometrist in Coon Rapids, Minnesota, licensed in Minnesota (2510) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164424370
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameROBERT DODGECredential: O.D.
Location Address12737 RIVERDALE BLVD NWCoon Rapids, MN 55448-1253
Mailing AddressPo Box 48451Coon Rapids, MN 55448-0451
Phone(763) 433-3468
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1164424370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2510
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
12737 RIVERDALE BLVD NW, Coon Rapids, MN 55448
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Robert Dodge O.d. 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 55448 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

TIMOTHY V VOTAVA
Hearing Instrument Specialist
12737 RIVERDALE BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 421-1688
MIRACLE EAR
Audiologist-Hearing Aid Fitter
12737 RIVERDALE BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 421-1688
BEST HEARING PRODUCTS
Durable Medical Equipment & Medical Supplies (Customized Equipment)
12737 RIVERDALE BLVD NW
COON RAPIDS, MN 55448
Anoka County (763) 421-1688

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 Robert Dodge's NPI number?

The NPI number for Robert Dodge is 1164424370. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Robert Dodge located?

Robert Dodge practices at 12737 Riverdale Blvd NW, Coon Rapids, MN 55448. The listed phone number is (763) 433-3468.

What is Robert Dodge's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Robert Dodge enrolled in Medicare?

Yes. Robert Dodge is registered in the Medicare PECOS enrollment system.

What insurance does Robert Dodge accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Robert Dodge 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.

When was this NPI record last updated?

The NPPES record for Robert Dodge was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.