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DR. LARRY DAVID DODGE M.D.
NPI 1366404873
Orthopaedic Surgery in San Diego, CA

Active since April 03, 2006Opted out of Medicare · through Aug 14, 2027
4060 4TH AVE STE 700, SAN DIEGO, CA 92103(609) 299-8500(619) 297-1443 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry David Dodge M.d. NPPES

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

DR. LARRY DAVID DODGE M.D. (NPI 1366404873) is an individual orthopaedic surgery provider in San Diego, California, licensed in California (G46528) and active in the NPI registry since April 2006. He has opted out of Medicare through August 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366404873
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. LARRY DAVID DODGECredential: M.D.
Location Address4060 4TH AVE STE 700San Diego, CA 92103-2121
Mailing Address4060 4th Ave Ste 700San Diego, CA 92103-2121 · (609) 299-8500 · Fax (619) 297-1443
Phone(609) 299-8500
Fax(619) 297-1443
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateApril 24, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1366404873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · G46528
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License G46528 (CA)
4060 4TH AVE STE 700, San Diego, CA 92103
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Other Identifiers 1

Medicaid00G465280CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Larry David Dodge M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 14, 2019 through August 14, 2027.

Opt-Out Effective DateAugust 14, 2019
Opt-Out In Effect ThroughAugust 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 10

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

CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC
Durable Medical Equipment & Medical Supplies
4060 4TH AVE STE 700
SAN DIEGO, CA 92103
San Diego County (619) 299-8500
DR. CHRISTOPHER TODD BEHR M.D.
Orthopaedic Surgery (Sports Medicine)
4060 4TH AVE STE 700
SAN DIEGO, CA 92103
San Diego County (619) 299-8500
RAFID KASIR MD
Orthopaedic Surgery
4060 4TH AVE STE 700
SAN DIEGO, CA 92103
San Diego County (619) 299-8500
DR. DAVID WILLIAM FABI M.D.
Orthopaedic Surgery
4060 4TH AVE STE 700
SAN DIEGO, CA 92103
San Diego County (619) 299-8500
DR. FRANZ JOHN KOPP M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
4060 4TH AVE STE 700
SAN DIEGO, CA 92103
San Diego County (619) 299-8500
SAN DIEGO ORTHOPAEDIC ASSOCIATES MEDICAL GROUP, INC.
Clinic/Center (Multi-Specialty)
4060 4TH AVE STE 700
SAN DIEGO, CA 92103
San Diego County (619) 299-8500
EMILY KIMBALL
Physician Assistant (Surgical)
4060 4TH AVE STE 700
SAN DIEGO, CA 92103
San Diego County (619) 299-8500
JEREMY BELL MCCANDLESS M.D.
Orthopaedic Surgery
4060 4TH AVE STE 700
SAN DIEGO, CA 92103
San Diego County (619) 299-8500

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 Larry Dodge's NPI number?

The NPI number for Larry Dodge is 1366404873. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Larry Dodge located?

Larry Dodge practices at 4060 4th Ave Ste 700, San Diego, CA 92103. The listed phone number is (609) 299-8500.

What is Larry Dodge's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Larry Dodge enrolled in Medicare?

No. Larry Dodge has opted out of Medicare through August 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Larry Dodge was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.