DR. NICHOLAS DAVID DODGE MD
NPI 1679534226
Internal Medicine in Dunmore, PA

Q: What is Nicholas Dodge's NPI number?

The NPI number for Nicholas Dodge is 1679534226. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Nicholas Dodge's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Dodge was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment

414 E DRINKER ST STE 204, DUNMORE, PA 18512(570) 344-5115(570) 344-2123 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Dec 6, 2023 (2 updates tracked since 2023).

On this page

About Dr. Nicholas David Dodge Md NPPES

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

DR. NICHOLAS DAVID DODGE MD (NPI 1679534226) is an individual internal medicine provider in Dunmore, Pennsylvania, licensed in Pennsylvania (MD054271L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Temple University School Of Medicine (1992).

NPPES Registry Identity

NPI1679534226

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. NICHOLAS DAVID DODGECredential: MD

Location Address414 E DRINKER ST STE 204Dunmore, PA 18512-2469

Mailing Address100 N Academy Ave # Mc4903Danville, PA 17822-9800 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 344-5115

Fax(570) 344-2123

Sole ProprietorYes

Medical School CMSTemple University School Of MedicineGraduated 1992

Enumeration DateMarch 31, 2006

Last NPPES UpdateApril 3, 20252 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1679534226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD054271L

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

414 E DRINKER ST STE 204, Dunmore, PA 18512

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Other Identifiers 6

Other1679534226Npi

Medicaid001508646PA

Other002981PA · First Priority Hmo

OtherP00025321PA · Railroad Medicare

Other616633PA · Fplic

Other616633PA · Blue Shield Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Nicholas David Dodge Md 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 ID4587789888

PECOS Enrollment IDI20100909000997

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 19

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

496 services119 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

247 services54 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

191 services89 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.

184 services96 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

121 services67 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

119 services119 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

112 services53 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

69 services63 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

55 services48 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

54 services20 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

47 services45 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

39 services28 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

38 services30 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

35 services18 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

32 services32 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

23 services20 patients

Transitional care management services for problem of high complexity 99496

22 services16 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

14 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390237

Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18512 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 24

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers52 claims92 services$5.35 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers24 claims24 services$0.89 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier45 claims45 services$22.21 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier44 claims44 services$8.51 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims543 services$7.14 avg. paid by Medicare

Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203

DME-Medical/Surgical Supplies · category DA023N

1 supplier15 claims465 services$3.24 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers104 claims3,175 services$3.98 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier54 claims23,115 services$0.31 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers40 claims18,223 services$0.27 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

2 suppliers42 claims42 services$50.67 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers49 claims49 services$52.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers19 claims19 services$13.55 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

2 suppliers19 claims19 services$6.07 avg. paid by Medicare

Heel loop/holder, any type, with or without ankle strap, each E0951

DME-Wheelchairs · category DD000N

2 suppliers11 claims22 services$11.26 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier13 claims14 services$14.38 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

2 suppliers14 claims28 services$25.63 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier14 claims18 services$8.58 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier13 claims14 services$195.31 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$58.82 avg. paid by Medicare

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches E2201

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$25.65 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

2 suppliers12 claims12 services$34.21 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers114 claims117 services$18.39 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$32.76 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier23 claims23 services$20.23 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

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

NICHOLAS DODGE, M.D., P.C.

Internal Medicine

414 E DRINKER ST STE 204
DUNMORE, PA 18512

Lackawanna County (570) 344-5115

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 Nicholas Dodge's NPI number?

The NPI number for Nicholas Dodge is 1679534226. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Nicholas Dodge located?

Nicholas Dodge practices at 414 E Drinker St Ste 204, Dunmore, PA 18512. The listed phone number is (570) 344-5115.

What is Nicholas Dodge's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Dodge enrolled in Medicare?

Yes. Nicholas Dodge 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 Nicholas Dodge accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicholas Dodge 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.

Is Nicholas Dodge affiliated with any hospitals?

According to CMS data, Nicholas Dodge is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Wilkes-Barre General Hospital, Regional Hospital Of Scranton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Dodge was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.