JOHN L DALLY DO
NPI 1679264154
Family Medicine in Anchorage, AK

Active since May 16, 2023PECOS EnrolledAccepts Medicare Assignment
1201 E 36TH AVE, ANCHORAGE, AK 99508(907) 562-9229(907) 562-1603 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2023, May 16, 2023 (2 updates tracked since 2023).

About John L Dally Do NPPES

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

JOHN L DALLY DO (NPI 1679264154) is an individual family medicine provider in Anchorage, Alaska, licensed in Alaska (210838) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of University Of The Incarnate Word School Of Osteo Medicine (2023).

NPPES Registry Identity

NPI1679264154
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN L DALLYCredential: DO
Location Address1201 E 36TH AVEAnchorage, AK 99508-4372
Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141
Fax(907) 562-1603
Sole ProprietorNo
Medical School CMSUniversity Of The Incarnate Word School Of Osteo MedicineGraduated 2023
Enumeration DateMay 16, 2023
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1679264154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 210838
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.
1201 E 36TH AVE, Anchorage, AK 99508

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John L Dally Do 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 ID6002275187
PECOS Enrollment IDI20260831001886
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 Reassignment

Medicare enrollment records show John Dally reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2500 S WOODWORTH LOOP
Palmer, AK 99645
  • Reassigned Medicare billing, Alaska enrollment
  • 45 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Other Providers at the Same Location NPPES 20

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

Psychologist
1201 E 36TH AVE
ANCHORAGE, AK 99508
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508

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 John Dally's NPI number?

The NPI number for John Dally is 1679264154. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is John Dally located?

John Dally practices at 1201 E 36th Ave, Anchorage, AK 99508. The listed phone number is (907) 562-9229.

What is John Dally's specialty?

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

Is John Dally enrolled in Medicare?

Yes. John Dally 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.

Which organization bills Medicare for John Dally's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dally reassigns Medicare benefits to Mat-Su Valley III LLC (Palmer, AK). The 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 John Dally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Dally accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list John Dally 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 John Dally was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.