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DR. WILLIAM RANDOLPH DODGE II
NPI 1588640312
Emergency Medicine in Laguna Beach, CA

Active since December 22, 2005PECOS Enrolled
705 MARLIN, LAGUNA BEACH, CA 92651(760) 409-1165 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. William Randolph Dodge Ii NPPES

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

DR. WILLIAM RANDOLPH DODGE II (NPI 1588640312) is an individual emergency medicine provider in Laguna Beach, California, licensed in California (A70260) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1588640312
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. WILLIAM RANDOLPH DODGE II
Location Address705 MARLINLaguna Beach, CA 92651-4146
Mailing Address705 MarlinLaguna Beach, CA 92651-4146
Phone(760) 409-1165
Sole ProprietorYes
Enumeration DateDecember 22, 2005
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1588640312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A70260
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
705 MARLIN, Laguna Beach, CA 92651
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Secondary Practice Location 1

Location 16990 E GREEN LAKE WAY N, Suite GSeattle, WA 98115 · Phone (760) 409-1165

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Randolph Dodge Ii 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

2

Medicare enrollment records show William Dodge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mission Viejo Emergency Medical Associates, Inc.
1.8 mi
Emergency Medicine
31872 COAST HWY
Laguna Beach, CA 92651
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
NPI 1134355597 (844) 474-4019
Mission Viejo Emergency Medical Associates
5.8 mi
Emergency Medicine
27700 MEDICAL CENTER RD
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
NPI 1073542916 (844) 474-4019

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
176 services175 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
120 services113 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
104 services101 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
53 services52 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92651 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 William Dodge's NPI number?

The NPI number for William Dodge is 1588640312. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is William Dodge located?

William Dodge practices at 705 Marlin, Laguna Beach, CA 92651. The listed phone number is (760) 409-1165.

What is William Dodge's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is William Dodge enrolled in Medicare?

Yes. William Dodge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for William Dodge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Dodge reassigns Medicare benefits to 2 organizations: Mission Viejo Emergency Medical Associates, Inc. (Laguna Beach, CA) and Mission Viejo Emergency Medical Associates (Mission Viejo, CA). 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 William Dodge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Dodge was last updated on March 31, 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.