KEVIN C DODSON
NPI 1629076559
Podiatrist - Foot & Ankle Surgery in East Moline, IL

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
1620 9TH ST, EAST MOLINE, IL 61244(309) 755-3809(309) 755-3860 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin C Dodson NPPES

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

KEVIN C DODSON (NPI 1629076559) is an individual foot & ankle surgery provider in East Moline, Illinois, licensed in Illinois (016004304) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1629076559
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameKEVIN C DODSON
Location Address1620 9TH STEast Moline, IL 61244-2120
Mailing Address1620 9th StEast Moline, IL 61244-2120 · (309) 755-3809 · Fax (309) 755-3860
Fax(309) 755-3860
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 13, 2005
Last NPPES UpdateOctober 12, 2011
NPI 1629076559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IL · 016004304
1620 9TH ST, East Moline, IL 61244

Other Identifiers 15

Medicaid016004304IL
Other0060201286IL · Blue Cross And Blue Shiel
Other36473IA · Wellmark Blue Cross Blue Shield
OtherIL0101IL · United Healthcare
OtherIA0102IA · United Healthcare
Other0436154IA · Ime
OtherI12453IA · Medicare
Other326507258IL · Tricare
Other480007485IL · Medicare Railroad
Medicare NSC0932570001IL
OtherP00204462IA · Medicare Railroad
Other363660257003IA · Tricare
Medicare UPINT87105IL
Medicare PIN905570IL
Other020110IL · Health Alliance

Accepted 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

Kevin C Dodson 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 ID3678558095
PECOS Enrollment IDI20101105001046
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.

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.
588 services192 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
141 services42 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.
100 services100 patients
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.
74 services56 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
47 services23 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.
44 services21 patients

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers17 claims34 services$55.28 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier14 claims81 services$25.06 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 2

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

Durable Medical Equipment & Medical Supplies
1620 9TH ST
EAST MOLINE, IL 61244
Prosthetic/Orthotic Supplier
1620 9TH ST
EAST MOLINE, IL 61244

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 Kevin Dodson's NPI number?

The NPI number for Kevin Dodson is 1629076559. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Kevin Dodson located?

Kevin Dodson practices at 1620 9th St, East Moline, IL 61244. The listed phone number is (309) 755-3809.

What is Kevin Dodson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kevin Dodson enrolled in Medicare?

Yes. Kevin Dodson 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 Kevin Dodson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Kevin Dodson 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 Kevin Dodson was last updated on October 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.