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DR. MICHAEL A DOLE M.D.
NPI 1669471900
Family Medicine in St Louis Park, MN

Active since July 19, 2005PECOS Enrolled
83.53/100
CMS Quality Rating
3408 DAKOTA AVE S, ST LOUIS PARK, MN 55416(952) 924-1053(952) 924-0254 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2021, Dec 21, 2015 (2 updates tracked since 2015).

About Dr. Michael A Dole M.d. NPPES

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

DR. MICHAEL A DOLE M.D. (NPI 1669471900) is an individual family medicine provider in St Louis Park, Minnesota, licensed in Minnesota (29325) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669471900
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL A DOLECredential: M.D.
Location Address3408 DAKOTA AVE SSt Louis Park, MN 55416-2312
Mailing AddressPo Box 43, Mr 10809Minneapolis, MN 55440-0043 · (612) 262-4813 · Fax (612) 262-4194
Phone(952) 924-1053
Fax(952) 924-0254
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1669471900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 29325
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3408 DAKOTA AVE S, St Louis Park, MN 55416
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael A Dole M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES

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

DAKOTA MEDICAL CLINIC, PA
Clinic/Center (Health Service)
3408 DAKOTA AVE S
ST LOUIS PARK, MN 55416
Hennepin County (952) 924-1053

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 Michael Dole's NPI number?

The NPI number for Michael Dole is 1669471900. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Michael Dole located?

Michael Dole practices at 3408 Dakota Ave S, St Louis Park, MN 55416. The listed phone number is (952) 924-1053.

What is Michael Dole's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Dole enrolled in Medicare?

Yes. Michael Dole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Dole was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.