ROY DODD PA-C
NPI 1316323389
Physician Assistant in Hendersonville, NC

Active since July 31, 2015PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
800 N JUSTICE ST, HENDERSONVILLE, NC 28791(828) 696-4250(828) 696-4256 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2021, Apr 21, 2020 (2 updates tracked since 2020).

About Roy Dodd Pa-c NPPES

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

ROY DODD PA-C (NPI 1316323389) is an individual physician assistant in Hendersonville, North Carolina, licensed in North Carolina (0010-05831) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1316323389
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROY DODDCredential: PA-C
Location Address800 N JUSTICE STHendersonville, NC 28791-3410
Mailing Address800 N Justice StHendersonville, NC 28791-3410 · (828) 696-4250 · Fax (828) 696-7654
Fax(828) 696-4256
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 31, 2015
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1316323389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-05831
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
800 N JUSTICE ST, Hendersonville, NC 28791

Other Identifiers 1

OtherNCT077CNC · Medicare Ptan

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

Roy Dodd Pa-c 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 ID9830482561
PECOS Enrollment IDI20160719000052
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services20 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
78 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
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.

Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Internal Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Anesthesiology
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Psychiatry & Neurology (Psychiatry)
800 N JUSTICE ST, BOX 38
HENDERSONVILLE, NC 28791
Anesthesiology
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791

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 Roy Dodd's NPI number?

The NPI number for Roy Dodd is 1316323389. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Roy Dodd located?

Roy Dodd practices at 800 N Justice St, Hendersonville, NC 28791. The listed phone number is (828) 696-4250.

What is Roy Dodd's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Roy Dodd enrolled in Medicare?

Yes. Roy Dodd 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 Roy Dodd accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Roy Dodd 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 Roy Dodd was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.