DIANE DODGEN (M.D.) – Primary Care Clinic/Center, NPI 1134117385

DIANE DODGEN (M.D.) is a healthcare provider. based in Perry, Florida. specializing in Primary Care Clinic/Center. They hold the professional credentials M.D.. They hold a License No. ME99971 (FL). The NPI Number for DIANE DODGEN (M.D.) is 1134117385

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DIANE DODGEN (M.D.)
NPI
1134117385
Phone
(850) 584-3278
Address
330 BISHOP BLVD
Enumeration Date
12 October 2005
Last Update Date
17 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8505840800
Graduation Year
1985 (41 years ago)
PAC ID
8426962176
Group Practice PAC ID
8426280520
Professional Enrollment ID
I20071121000031
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DIANE DODGEN (M.D.)

  • 330, Bishop Boulevard, Perry, Taylor County, Florida, 32347, United States

    PERRY, FL 323473618

    Phone: (850) 584-3278

    Fax: (850) 584-8171

    Type: Mailing

  • 315, East Ash Street, Perry, Taylor County, Florida, 32347, United States

    PERRY, FL 323472029

    Phone: (850) 584-3278

    Fax: (850) 584-8171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-05-30 • Largest payer in this snapshot: Amgen Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071121000031IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample254133$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes10168$0
99284Emergency department visit with moderate level of medical decision making5554$0
99213Established patient office or other outpatient visit, 20-29 minutes4436$0
99285Emergency department visit with high level of medical decision making4040$0
View full utilization report →

Insurance plans in this area (ZIP 32347)

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Provider's Procedures

DIANE DODGEN (M.D.) performs procedures in Primary Care Clinic/Center. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEFL83036Hemoglobin A1C level170126
EMERGENCY MEDICINEFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4444

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426280520View full group profile

Reviews

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Frequently asked questions

Does DIANE DODGEN (M.D.) have a public NPI I can cite?
Public records show DIANE DODGEN (M.D.) under NPI 1134117385.
Is DIANE DODGEN (M.D.)'s NPI status active today?
Active status means DIANE DODGEN (M.D.)'s NPI record is not deactivated in the public file.
What services align with DIANE DODGEN (M.D.)'s listing?
DIANE DODGEN (M.D.)'s public classification highlights Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DIANE DODGEN (M.D.)?
DIANE DODGEN (M.D.) is associated with Perry, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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