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JENNIFER DUMBOLTON D.O.
NPI 1255488557
Family Medicine in Payson, AZ

Active since January 05, 2007PECOS Enrolled
122 E MAIN ST, PAYSON, AZ 85541(928) 474-2888(928) 474-2992 Get Directions Write a Review

NPPES record last updated: December 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Dumbolton D.o. NPPES

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

JENNIFER DUMBOLTON D.O. (NPI 1255488557) is an individual family medicine provider in Payson, Arizona, licensed in Arizona (005119) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255488557
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER DUMBOLTONCredential: D.O.
Location Address122 E MAIN STPayson, AZ 85541-5574
Mailing Address122 E Main StPayson, AZ 85541-5574 · (928) 474-2888 · Fax (928) 474-2992
Phone(928) 474-2888
Fax(928) 474-2992
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateDecember 30, 2008
✔ NPI 1255488557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 005119✔ Licensed in IA · R-7684
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

122 E MAIN ST, Payson, AZ 85541
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Other Identifiers 3

Medicaid386378AZ
Medicaid0476960IA
Medicare PINPENDINGAZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Dumbolton D.o. 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 85541 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 4

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

DR. BRUCE M PALMER M.D.
Surgery
122 E MAIN ST
PAYSON, AZ 85541
Gila County (928) 596-4600
AKDHC, LL
Internal Medicine (Nephrology)
122 E MAIN ST, AKDHC (MOUNTAIN VIEW FAMILY CLINIC)
PAYSON, AZ 85541
Gila County (928) 474-2888
DR. LEROY WOMBOLD DO
Surgery
122 E MAIN ST
PAYSON, AZ 85541
Gila County (928) 596-4600
MOUNTAIN VIEW FAMILY MEDICINE PC
Family Medicine
122 E MAIN ST
PAYSON, AZ 85541
Gila County (928) 474-2888

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 Jennifer Dumbolton's NPI number?

The NPI number for Jennifer Dumbolton is 1255488557. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Jennifer Dumbolton located?

Jennifer Dumbolton practices at 122 E Main St, Payson, AZ 85541. The listed phone number is (928) 474-2888.

What is Jennifer Dumbolton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Dumbolton enrolled in Medicare?

Yes. Jennifer Dumbolton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Dumbolton was last updated on December 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.