RONALD PHILIP DALTON MD
NPI 1407851413
Pediatrics in Iron River, MI

Active since June 16, 2005PECOS Enrolled
1300 W ICE LAKE RD, IRON RIVER, MI 49935(906) 265-8189 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2025, Nov 19, 2015 (2 updates tracked since 2015).

About Ronald Philip Dalton Md NPPES

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

RONALD PHILIP DALTON MD (NPI 1407851413) is an individual pediatrics provider in Iron River, Michigan, licensed in Wisconsin (13202-320) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Downers Grove.

NPPES Registry Identity

NPI1407851413
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRONALD PHILIP DALTONCredential: MD
Location Address1300 W ICE LAKE RDIron River, MI 49935-8507
Mailing Address1400 W Ice Lake RdIron River, MI 49935-9526 · (906) 265-6121 · Fax (906) 265-4245
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1407851413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 13202-320✔ Licensed in MI · 4301071649✔ Licensed in IL · 036-173810
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301071649 (MI)
1300 W ICE LAKE RD, Iron River, MI 49935

Secondary Practice Location 1

Location 11441 Branding Ave Ste 310Downers Grove, IL 60515-5624 · Phone (708) 634-0950 · Fax (708) 634-0942

Other Identifiers 5

OtherRD071649MI · Bcbs Of Mi
Medicaid3461280MI
Other700C61000Bcbs, Medicare Plus Blue
Medicaid81820700WI
Other34010000WI · Eds

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald Philip Dalton Md 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.

Medicare Billing Reassignments

8

Medicare enrollment records show Ronald Dalton reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
814 SOUTH ICE LAKE ROAD
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 200 clinicians in this Medicare group
Family Medicine
18341 US HIGHWAY 41
Lanse, MI 49946
  • Reassigned Medicare billing, Michigan enrollment
  • 73 clinicians in this Medicare group
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
2209 S STERLING ST, SUITE 530
Morganton, NC 28655
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
Psychiatric Unit
306 SHORTER AVE NW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
Hospitalist
1015 UNITY RD
Crossett, AR 71635
  • Reassigned Medicare billing, New Mexico enrollment
  • 114 clinicians in this Medicare group
Critical Access
3202 N. RIDGE LOOP, SILVER CITY,
Silver City, NM 88061
  • Reassigned Medicare billing, New Mexico enrollment
  • Also billed through NPI 1619053709 (New Mexico)
  • 51 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49935 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers41 claims41 services$107.28 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 3

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

Emergency Medicine (Emergency Medical Services)
1300 W ICE LAKE RD
IRON RIVER, MI 49935
Physician Assistant
1300 W ICE LAKE RD
IRON RIVER, MI 49935
Clinic/Center (Rural Health)
1300 W ICE LAKE RD
IRON RIVER, MI 49935

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 Ronald Dalton's NPI number?

The NPI number for Ronald Dalton is 1407851413. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Ronald Dalton located?

Ronald Dalton practices at 1300 W Ice Lake Rd, Iron River, MI 49935. The listed phone number is (906) 265-8189.

What is Ronald Dalton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ronald Dalton enrolled in Medicare?

Yes. Ronald Dalton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ronald Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Dalton reassigns Medicare benefits to 8 organizations: Aspirus Iron River Hospital & Clinics, Inc. (Iron River, MI), Baraga County Memorial Hospital (Lanse, MI), Aurora Medical Group, Inc. (Sheboygan, WI), Lutheran General Hospital (Park Ridge, IL), Carolinas Physicians Network Inc (Morganton, NC) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Dalton accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of NC, CareSource (Common Ground Healthcare) and Network Health and 3 other insurers list Ronald Dalton 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 Ronald Dalton was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.