DR. SEAN DODGE PSY.D.
NPI 1922256809
Psychologist - Clinical in Redmond, OR

Q: What is Sean Dodge's NPI number?

The NPI number for Sean Dodge is 1922256809. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Q: What is Sean Dodge's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Sean Dodge was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment

211 NW LARCH AVE, REDMOND, OR 97756(541) 548-2164(541) 548-0534 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2024, Sep 22, 2021 (2 updates tracked since 2021).

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About Dr. Sean Dodge Psy.d. NPPES

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

DR. SEAN DODGE PSY.D. (NPI 1922256809) is an individual clinical provider in Redmond, Oregon, licensed in Oregon (2871) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1922256809

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SEAN DODGECredential: PSY.D.

Location Address211 NW LARCH AVERedmond, OR 97756-1357

Mailing Address1900 Ne 3rd St Ste 1061019Bend, OR 97701-3894 · (775) 297-8855

Phone(541) 548-2164

Fax(541) 548-0534

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 3, 2008

Last NPPES UpdateApril 2, 20242 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1922256809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in OR · 2871✔ Licensed in NV · PY0624

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

211 NW LARCH AVE, Redmond, OR 97756

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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. Sean Dodge Psy.d. 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 ID2668641523

PECOS Enrollment IDI20240130003564

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 2

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.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

51 services51 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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