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DR. DALE A VOLQUARTSEN MD
NPI 1841250594
Pediatrics in Defuniak Springs, FL

Active since March 26, 2006PECOS Enrolled
1045 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435(850) 892-3366(850) 863-8548 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dale A Volquartsen Md NPPES

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

DR. DALE A VOLQUARTSEN MD (NPI 1841250594) is an individual pediatrics provider in Defuniak Springs, Florida, licensed in Florida (ME151460) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1992).

NPPES Registry Identity

NPI1841250594
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DALE A VOLQUARTSENCredential: MD
Location Address1045 US HIGHWAY 331 SDefuniak Springs, FL 32435-3379
Mailing Address1005 Mar Walt Dr, AdministrationFort Walton Beach, FL 32547-6707 · (850) 863-8150 · Fax (850) 863-4152
Phone(850) 892-3366
Fax(850) 863-8548
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1992
Enumeration DateMarch 26, 2006
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1841250594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME151460
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1045 US HIGHWAY 331 S, Defuniak Springs, FL 32435
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Other Identifiers 1

Medicaid112939400FL

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dale A Volquartsen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173701174
PECOS Enrollment IDI20260523000054
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 Dale Volquartsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

White-Wilson Medical Center PA
35 mi
Clinic/Center
1005 MAR WALT DR, ADMINISTRATION
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • 57 clinicians in this Medicare group
NPI 1467437277 (850) 863-8131
North Platte Nebraska Hospital Corporation
1,088 mi
Medical Oncology
601 W LEOTA ST
North Platte, NE 69101
  • Reassigned Medicare billing, Nebraska enrollment
  • 365 clinicians in this Medicare group
NPI 1134355332 (308) 568-7496

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 32435 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%787 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
12%195 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%48 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%1,092 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
30%694 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
12%147 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%1,092 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%1,031 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
25%1,031 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 51% · 681 patients
Patients physicalActivity: 50% · 681 patients
98%681 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

WHITE-WILSON MEDICAL CENTER, P.A.
Clinic/Center (Rural Health)
1045 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-3366
TAMMY HOWERTON PA-C
Physician Assistant
1045 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-3366
JENNIFER VITAL WHITFIELD MD
General Practice
1045 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-3366
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1045 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL 32435
Walton County (850) 892-1345

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 Dale Volquartsen's NPI number?

The NPI number for Dale Volquartsen is 1841250594. It was assigned to this individual provider in the NPPES registry on March 26, 2006.

Where is Dale Volquartsen located?

Dale Volquartsen practices at 1045 Us Highway 331 S, Defuniak Springs, FL 32435. The listed phone number is (850) 892-3366.

What is Dale Volquartsen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dale Volquartsen enrolled in Medicare?

Yes. Dale Volquartsen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dale Volquartsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dale Volquartsen reassigns Medicare benefits to 2 organizations: White-Wilson Medical Center PA (Fort Walton Beach, FL) and North Platte Nebraska Hospital Corporation (North Platte, NE). 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 Dale Volquartsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dale Volquartsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 2 other insurers list Dale Volquartsen 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 Dale Volquartsen was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.