JORDAN RICHARD DODGE CNP
NPI 1275923203
Nurse Practitioner - Family in Circleville, OH

Active since January 29, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
600 N PICKAWAY ST, CIRCLEVILLE, OH 43113(614) 566-8333(614) 566-5189 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Jan 13, 2022, Dec 12, 2017 and 1 more (4 updates tracked since 2016).

About Jordan Richard Dodge Cnp NPPES

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

JORDAN RICHARD DODGE CNP (NPI 1275923203) is an individual family provider in Circleville, Ohio, licensed in Ohio (APRN.CNP.17030) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275923203
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJORDAN RICHARD DODGECredential: CNP
Location Address600 N PICKAWAY STCircleville, OH 43113-1447
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Fax(614) 566-5189
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 29, 2015
Last NPPES UpdateMarch 28, 20234 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
NPI 1275923203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.17030
600 N PICKAWAY ST, Circleville, OH 43113

Other Identifiers 1

Medicaid0118258OH

Accepted 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

Jordan Richard Dodge Cnp 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 ID7012234727
PECOS Enrollment IDI20150317002215
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 43113 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers62 claims62 services$18.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers69 claims69 services$102.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Family Medicine
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Emergency Medicine
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Specialist/Technologist (Athletic Trainer)
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Dietitian, Registered
600 N PICKAWAY ST, SUITE 300 3RD FLOOR MEDICAL OFFICE
CIRCLEVILLE, OH 43113
Internal Medicine (Nephrology)
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Emergency Medicine
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Emergency Medicine
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113

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 Jordan Dodge's NPI number?

The NPI number for Jordan Dodge is 1275923203. It was assigned to this individual provider in the NPPES registry on January 29, 2015.

Where is Jordan Dodge located?

Jordan Dodge practices at 600 N Pickaway St, Circleville, OH 43113. The listed phone number is (614) 566-8333.

What is Jordan Dodge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jordan Dodge enrolled in Medicare?

Yes. Jordan Dodge 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.

What insurance does Jordan Dodge accept?

Health plans from CareSource and MedMutual list Jordan Dodge 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 Jordan Dodge was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.