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MR. TONY W. DOTSON DO
NPI 1396728499
Obstetrics & Gynecology in Ashland, KY

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
617 23RD STREET, SUITE 415, ASHLAND, KY 41101(606) 325-6888(606) 326-9368 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Tony W. Dotson Do NPPES

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

MR. TONY W. DOTSON DO (NPI 1396728499) is an individual obstetrics & gynecology provider in Ashland, Kentucky, licensed in Kentucky (02552) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1396728499
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. TONY W. DOTSONCredential: DO
Location Address617 23RD STREET, SUITE 415Ashland, KY 41101
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6212
Phone(606) 325-6888
Fax(606) 326-9368
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 22, 2005
Last NPPES UpdateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1396728499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 02552
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
617 23RD STREET, SUITE 415, Ashland, KY 41101
Open in Google Maps ↗

Other Identifiers 1

Medicaid64035538KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.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

Mr. Tony W. Dotson Do 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 ID2466537527
PECOS Enrollment IDI20080806000716
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

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 Tony Dotson's NPI number?

The NPI number for Tony Dotson is 1396728499. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Tony Dotson located?

Tony Dotson practices at 617 23rd Street, Suite 415, Ashland, KY 41101. The listed phone number is (606) 325-6888.

What is Tony Dotson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tony Dotson enrolled in Medicare?

Yes. Tony Dotson 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 Tony Dotson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 2 other insurers list Tony Dotson 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.

Is Tony Dotson affiliated with any hospitals?

According to CMS data, Tony Dotson is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Tony Dotson was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.