THOMAS M DODGE PMHNP-BC
NPI 1164767471
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Framingham, MA

Q: What is Thomas Dodge's NPI number?

The NPI number for Thomas Dodge is 1164767471. It was assigned to this individual provider in the NPPES registry on November 28, 2012.

Q: What is Thomas Dodge's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Dodge was last updated on October 26, 2023. 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.

Active since November 28, 2012PECOS EnrolledAccepts Medicare Assignment

1881 WORCESTER RD STE 203, FRAMINGHAM, MA 01701(508) 834-3183(508) 532-1168 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2023, Dec 13, 2022, Nov 22, 2022 (3 updates tracked since 2022).

On this page

About Thomas M Dodge Pmhnp-bc NPPES

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

THOMAS M DODGE PMHNP-BC (NPI 1164767471) is an individual psychiatric/mental health, child & family provider in Framingham, Massachusetts, licensed in Massachusetts (RN2351706) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164767471

Entity TypeIndividualMale

Primary Taxonomy364SP0810X

Provider Legal NameTHOMAS M DODGECredential: PMHNP-BC

Location Address1881 WORCESTER RD STE 203Framingham, MA 01701-5410

Mailing Address1881 Worcester Rd Ste 203Framingham, MA 01701-5410 · (508) 834-3183

Phone(508) 834-3183

Fax(508) 532-1168

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 28, 2012

Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration

NPPES CertifiedOctober 26, 2023

✔ NPI 1164767471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0810X

License✔ Licensed in MA · RN2351706

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2351706 (MA)

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 1797 (MA)

1881 WORCESTER RD STE 203, Framingham, MA 01701

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Thomas M Dodge Pmhnp-bc 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 ID7719359751

PECOS Enrollment IDI20230221000474

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 01701 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 10

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

DR. NIMISH M SHAH DNP, CNS-BC

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)