JACOB ALAN DODGE MD
NPI 1992111744
Family Medicine in Ventura, CA

Q: What is Jacob Dodge's NPI number?

The NPI number for Jacob Dodge is 1992111744. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Q: What is Jacob Dodge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Dodge was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 01, 2014PECOS EnrolledAccepts Medicare Assignment

888 S HILL RD, VENTURA, CA 93003(888) 515-3500(805) 477-6431 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jacob Alan Dodge Md NPPES

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

JACOB ALAN DODGE MD (NPI 1992111744) is an individual family medicine provider in Ventura, California, licensed in California (A146550) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1992111744

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACOB ALAN DODGECredential: MD

Location Address888 S HILL RDVentura, CA 93003-8400

Mailing Address888 S Hill RdVentura, CA 93003-8400 · (888) 515-3500 · Fax (805) 477-6431

Phone(888) 515-3500

Fax(805) 477-6431

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 1, 2014

Last NPPES UpdateDecember 20, 2021

✔ NPI 1992111744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A146550

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.

888 S HILL RD, Ventura, CA 93003

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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

Jacob Alan 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 ID7113144288

PECOS Enrollment IDI20171107003014

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

Permanente Medical Group Inc

263 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

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 93003 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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 2

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$3.05 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5056

DME-Orthotic Devices · category DF010N

1 supplier11 claims440 services$4.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. CATHERINE M HURLEY M.D.

Pediatrics (Adolescent Medicine)