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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. M LODGE DPM
NPI 1568470508
Podiatrist in Plymouth, PA

Active since August 04, 2006PECOS Enrolled
75 WASHINGTON AVE, PLYMOUTH, PA 18651(570) 287-1955 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. M Lodge Dpm NPPES

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

DR. M LODGE DPM (NPI 1568470508) is an individual podiatrist in Plymouth, Pennsylvania, licensed in Pennsylvania (SC005680) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Temple University School Of Medicine (2003).

NPPES Registry Identity

NPI1568470508
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. M LODGECredential: DPM
Location Address75 WASHINGTON AVEPlymouth, PA 18651-1744
Mailing Address75 Washington AvePlymouth, PA 18651-1744 · (518) 287-1955 · Fax (570) 287-1995
Phone(570) 287-1955
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2003
Enumeration DateAugust 4, 2006
Last NPPES UpdateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1568470508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in PA · SC005680
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
75 WASHINGTON AVE, Plymouth, PA 18651
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Secondary Practice Location 1

Location 13579 Memorial HwyDallas, PA 18612-9286 · Phone (570) 287-1955

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

Dr. M Lodge Dpm 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 ID143323089
PECOS Enrollment IDI20070313000474
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
442 services254 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
177 services61 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
106 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
90 services90 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services35 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18651 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 2

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

N.E.P.A FOOT & ANKLE SPECIALISTS P.C.
Podiatrist (Foot & Ankle Surgery)
75 WASHINGTON AVE
PLYMOUTH, PA 18651
Luzerne County (570) 287-1955
DR. SHELLY ANN LEVULIS D.P.M.
Podiatrist
75 WASHINGTON AVE
PLYMOUTH, PA 18651
Luzerne County (570) 287-1955

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 M Lodge's NPI number?

The NPI number for M Lodge is 1568470508. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is M Lodge located?

M Lodge practices at 75 Washington Ave, Plymouth, PA 18651. The listed phone number is (570) 287-1955.

What is M Lodge's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is M Lodge enrolled in Medicare?

Yes. M Lodge 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.

When was this NPI record last updated?

The NPPES record for M Lodge was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.