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BENJAMIN DODGE MD
NPI 1932556826
Family Medicine in Fort Defiance, AZ

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
FORT DEFIANCE INDIAN HOSPITAL BOARD INC., CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504(928) 729-8097 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2019, May 20, 2016 (2 updates tracked since 2016).

About Benjamin Dodge Md NPPES

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

BENJAMIN DODGE MD (NPI 1932556826) is an individual family medicine provider in Fort Defiance, Arizona, licensed in New Mexico (MD2019-0276) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2016).

NPPES Registry Identity

NPI1932556826
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN DODGECredential: MD
Location AddressFORT DEFIANCE INDIAN HOSPITAL BOARD INC., CORNER OF ROUTES N12 & N7Fort Defiance, AZ 86504
Mailing AddressPo Box 2035Window Rock, AZ 86515-2035 · (505) 710-6592
Phone(928) 729-8097
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
✔ NPI 1932556826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · MD2019-0276
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.
FORT DEFIANCE INDIAN HOSPITAL BOARD INC., Fort Defiance, AZ 86504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Benjamin 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 ID9032404082
PECOS Enrollment IDI20190913002347
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 Benjamin Dodge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Fort Defiance Indian Hospital Board, Incorporation
0.4 mi
General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group
NPI 1477876639 (928) 729-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
183 services77 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.
97 services59 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier14 claims28 services$2.76 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
3 suppliers66 claims66 services$18.72 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
3 suppliers65 claims65 services$104.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Benjamin Dodge's NPI number?

The NPI number for Benjamin Dodge is 1932556826. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Benjamin Dodge located?

Benjamin Dodge practices at Fort Defiance Indian Hospital Board Inc. Corner Of Routes N12 & N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8097.

What is Benjamin Dodge's specialty?

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

Is Benjamin Dodge enrolled in Medicare?

Yes. Benjamin 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.

Which organization bills Medicare for Benjamin Dodge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Dodge reassigns Medicare benefits to The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). 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 Benjamin Dodge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Dodge accept?

Health plans from Blue Cross Blue Shield of Arizona list Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Dodge was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.