DOUGLAS ALAN DODDS II MD
NPI 1255301032
Pediatrics in Charlotte, NC

Active since January 25, 2006PECOS Enrolled
95.35/100
CMS Quality Rating
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1422 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2026, Jul 15, 2024, May 4, 2023 and 56 more (59 updates tracked since 2018).

About Douglas Alan Dodds Ii Md NPPES

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

DOUGLAS ALAN DODDS II MD (NPI 1255301032) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2013-00694) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of South Carolina School Of Medicine (1993).

NPPES Registry Identity

NPI1255301032
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDOUGLAS ALAN DODDS IICredential: MD
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1993
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 27, 202659 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1255301032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 2013-00694✔ Licensed in WI · 87191
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 2013-00694 (NC)
1350 S KINGS DR, Charlotte, NC 28207

Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255
Location 21001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840
Location 33003 University DrMarinette, WI 54143-4110 · Phone (715) 735-4200
Location 4920 Church St NConcord, NC 28025-2927 · Phone (704) 403-3664

Other Identifiers 1

Medicaid100410259WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Alan Dodds Ii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052554151
PECOS Enrollment IDI20260408002373
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Douglas Dodds reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1350 S KINGS DR
Charlotte, NC 28207
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207

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 Douglas Dodds's NPI number?

The NPI number for Douglas Dodds is 1255301032. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Douglas Dodds located?

Douglas Dodds practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1422.

What is Douglas Dodds's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas Dodds enrolled in Medicare?

Yes. Douglas Dodds is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Dodds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Dodds reassigns Medicare benefits to 2 organizations: Carolinas Medical Center (Charlotte, NC) and Aurora Medical Group, Inc. (Milwaukee, WI). Each 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 Douglas Dodds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Dodds accept?

Health plans from BlueCross BlueShield of South Carolina, CareSource (Common Ground Healthcare), InStil Health and Oscar Health Plan of North Carolina, Inc list Douglas Dodds 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 Douglas Dodds was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.