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DEIDRE ROSE DORMAN M.D.
NPI 1275621229
Family Medicine in Muncie, IN

Active since October 11, 2006PECOS Enrolled
1500 W NEELY AVE, BALL STATE UNIVERSITY STUDENT HEALTH CENTER, MUNCIE, IN 47306(765) 285-8431(765) 285-1103 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 19, 2024, Jul 26, 2024, Dec 15, 2021 (3 updates tracked since 2021).

About Deidre Rose Dorman M.d. NPPES

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

DEIDRE ROSE DORMAN M.D. (NPI 1275621229) is an individual family medicine provider in Muncie, Indiana, licensed in Indiana (01058517A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275621229
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEIDRE ROSE DORMANCredential: M.D.
Location Address1500 W NEELY AVE, BALL STATE UNIVERSITY STUDENT HEALTH CENTERMuncie, IN 47306-0001
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(765) 285-8431
Fax(765) 285-1103
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1275621229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01058517A
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.
1500 W NEELY AVE, Muncie, IN 47306
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Other Identifiers 1

Medicaid200478710IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deidre Rose Dorman M.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 47306 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

DR. AMY SHIH-MEI FONG M.D.
Family Medicine
1500 W NEELY AVE
MUNCIE, IN 47306
Delaware County (765) 285-8431
CRYSTAL DAWN NOWELS NP
Nurse Practitioner (Family)
1500 W NEELY AVE
MUNCIE, IN 47306
Delaware County (765) 285-8971

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 Deidre Dorman's NPI number?

The NPI number for Deidre Dorman is 1275621229. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Deidre Dorman located?

Deidre Dorman practices at 1500 W Neely Ave Ball State University Student Health Center, Muncie, IN 47306. The listed phone number is (765) 285-8431.

What is Deidre Dorman's specialty?

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

Is Deidre Dorman enrolled in Medicare?

Yes. Deidre Dorman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deidre Dorman was last updated on August 19, 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.