DR. CHARLES WAYNE DODGEN (M.D.) – Family Medicine Physician, NPI 1104846625
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for DR. CHARLES WAYNE DODGEN (M.D.)
107, Jackson Avenue, Thomaston, Upson County, Georgia, 30286, United States
SUITE A
THOMASTON, GA 302863433
Phone: (706) 647-8101
Fax: (706) 647-8543
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $467.
Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($166).
Total Amount
$467
General + Research + Ownership
Payments
19
Total payment records
General Amount
$467
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $166 |
| ABBVIE INC. | $141 |
| PFIZER INC. | $53 |
| Amgen Inc. | $35 |
| Lilly USA, LLC | $23 |
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: 2010-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100330000023 | I | Family Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 942 | 142 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 256 | 63 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 224 | 61 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 220 | 53 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 101 | 53 | $0 |
Insurance plans in this area (ZIP 30286)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 81002 | Urinalysis, manual test | 24 | 15 |
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