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DR. MARC PATRICK DOTSON D.O.
NPI 1992048292
Emergency Medicine in Lexington, KY

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
800 ROSE ST, ROOM M53, LEXINGTON, KY 40536(859) 323-5908(859) 323-8056 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jun 22, 2018, May 15, 2018 and 3 more (6 updates tracked since 2017).

About Dr. Marc Patrick Dotson D.o. NPPES

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

DR. MARC PATRICK DOTSON D.O. (NPI 1992048292) is an individual emergency medicine provider in Lexington, Kentucky, licensed in West Virginia (3127) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1992048292
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARC PATRICK DOTSONCredential: D.O.
Location Address800 ROSE ST, ROOM M53Lexington, KY 40536
Mailing Address800 Rose St Rm M53Lexington, KY 40536-0298 · (859) 323-5908 · Fax (859) 323-8056
Phone(859) 323-5908
Fax(859) 323-8056
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateSeptember 11, 20256 updates tracked since enumeration
✔ NPI 1992048292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WV · 3127
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Practice Location 1

Location 13110 MacCorkle Ave SECharleston, WV 25304-1210 · Phone (304) 768-3941 · Fax (304) 766-4391

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Marc Patrick Dotson D.o. 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 ID1052686284
PECOS Enrollment IDI20171013001369
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
72 services72 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

DR. JEREMY WAYNE THACKER M.D.
Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Fayette County (859) 257-4457
DR. KIRK PHILLIP HEITMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Fayette County (859) 257-1446
HARISH RAM MD
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MS. YVONNE P RICE APRN NP-C
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 218-1779
VANESSA D. SMITH MD
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6183
JASMINE HOWARD APRN
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
MITCHELL ALEXANDER MIGUEL M.D.
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6047
LEAH RAY YEAGER APRN
Nurse Practitioner (Family)
800 ROSE ST, CC417
LEXINGTON, KY 40536
Fayette County (859) 257-1223

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 Marc Dotson's NPI number?

The NPI number for Marc Dotson is 1992048292. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Marc Dotson located?

Marc Dotson practices at 800 Rose St Room M53, Lexington, KY 40536. The listed phone number is (859) 323-5908.

What is Marc Dotson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Dotson enrolled in Medicare?

Yes. Marc Dotson 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 Marc Dotson accept?

Health plans from CareSource list Marc Dotson 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 Marc Dotson affiliated with any hospitals?

According to CMS data, Marc Dotson is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Dotson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.