DAVID KIRK DODSON MD
NPI 1164698619
General Practice in Plymouth, MN
About David Kirk Dodson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID KIRK DODSON MD (NPI 1164698619) is an individual general practice provider in Plymouth, Minnesota, licensed in Minnesota (52435) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Kirk Dodson 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.
Medicare Billing Reassignment
Medicare enrollment records show David Dodson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plymouth, MN 55441
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 David Dodson's NPI number?
The NPI number for David Dodson is 1164698619. It was assigned to this individual provider in the NPPES registry on May 5, 2008.
Where is David Dodson located?
David Dodson practices at 28 Nathan Ln N, Plymouth, MN 55441. The listed phone number is (763) 588-7099.
What is David Dodson's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is David Dodson enrolled in Medicare?
Yes. David Dodson 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.
Which organization bills Medicare for David Dodson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Dodson reassigns Medicare benefits to Dodson Pain Consultants PA Corp (Plymouth, MN). The 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 David Dodson'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 David Dodson was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# David Kirk Dodson, MD · NPI 1164698619
General Practice physician in Plymouth, Minnesota. Individual provider, active in the CMS NPPES registry since May 5, 2008.
## Identity
- **NPI:** 1164698619 (Entity type: Individual)
- **Enumerated:** May 5, 2008
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 52435 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 28 NATHAN LN N, Plymouth, MN 55441-6306
- **Phone:** (763) 588-7099 · **Fax:** (763) 522-2222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dodson Pain Consultants PA Corp (NPI 1275881971, Plymouth, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** February 15, 2024
- **Other identifiers:** Other 20192 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1164698619) · Data from the CMS NPPES public registry.