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CAMERON ROBERT DODGE DO
NPI 1982395661
Family Medicine in Saint Charles, MO

Active since May 15, 2023PECOS Enrolled
1475 KISKER RD STE 200, SAINT CHARLES, MO 63304(636) 498-5850(636) 498-5886 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 17, 2026, May 15, 2023 (2 updates tracked since 2023).

About Cameron Robert Dodge Do NPPES

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

CAMERON ROBERT DODGE DO (NPI 1982395661) is an individual family medicine provider in Saint Charles, Missouri, licensed in Missouri (2026037548) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lawton.

NPPES Registry Identity

NPI1982395661
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCAMERON ROBERT DODGECredential: DO
Location Address1475 KISKER RD STE 200Saint Charles, MO 63304-8788
Mailing Address610 Sw 52nd St Apt 910Lawton, OK 73505-6854 · (314) 681-2331
Phone(636) 498-5850
Fax(636) 498-5886
Sole ProprietorYes
Enumeration DateMay 15, 2023
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1982395661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2026037548
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.
1475 KISKER RD STE 200, Saint Charles, MO 63304
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Secondary Practice Location 1

Location 13401 W Gore BlvdLawton, OK 73505-6332 · Phone (580) 355-8620

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron Robert Dodge Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Cameron Dodge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Medical Group, Inc.
8.8 mi
Clinic/Center
1101 HIGHWAY K STE A
O Fallon, MO 63366
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1851896146 (844) 766-7200

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 63304 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

NICHOLAS MOORE M.D.
Family Medicine
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5810
ALANTE Q GHANNAM FNP
Nurse Practitioner (Family)
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 695-0325
JADE ISABELLA SADOFF PA-C
Physician Assistant
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5800
DR. KATHERINE M DEWEY M.D.
Obstetrics & Gynecology
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5870
MRS. MELANIE NICOLE PILKENTON PA-C
Physician Assistant
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5810
DEMETRIOS V POLITIS DO
Family Medicine
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5850
DR. NICOLE SEDDON MD
Family Medicine
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5810
PRIYA SADHU MD
Family Medicine
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5810

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 Cameron Dodge's NPI number?

The NPI number for Cameron Dodge is 1982395661. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Cameron Dodge located?

Cameron Dodge practices at 1475 Kisker Rd Ste 200, Saint Charles, MO 63304. The listed phone number is (636) 498-5850.

What is Cameron Dodge's specialty?

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

Is Cameron Dodge enrolled in Medicare?

Yes. Cameron Dodge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cameron Dodge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cameron Dodge reassigns Medicare benefits to Ssm Medical Group, Inc. (O Fallon, MO). 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 Cameron Dodge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cameron Dodge accept?

Health plans from Anthem Blue Cross and Blue Shield list Cameron 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 Cameron Dodge was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.