THOMAS M DODGE (PMHNP-BC) – Child & Family Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1164767471

THOMAS M DODGE (PMHNP-BC) is a healthcare provider. based in Framingham, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. RN2351706 (MA). The NPI Number for THOMAS M DODGE (PMHNP-BC) is 1164767471

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS M DODGE (PMHNP-BC)
NPI
1164767471
Phone
(508) 834-3183
Address
1881 WORCESTER RD STE 203
Enumeration Date
28 November 2012
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088343183
Graduation Year
2022 (4 years ago)
PAC ID
7719359751
Group Practice PAC ID
9638234750
Professional Enrollment ID
I20230221000474
Address ID
MA017015410FR1881XRDXX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for THOMAS M DODGE (PMHNP-BC)

  • 1881 WORCESTER RD STE 203

    FRAMINGHAM, MA 017015410

    Phone: (508) 834-3183

    Type: Mailing

  • 263 ALDEN ST

    SPRINGFIELD, MA 011093707

    Phone: (413) 748-3563

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $788.

Total Amount is formed as General ($788) + Research ($0) + Ownership ($0) = $788.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($208).

Total Amount

$788

General + Research + Ownership

Payments

37

Total payment records

General Amount

$788

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-02-21

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
I20230221000474INurse PractitionerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01701)

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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: 9638234750View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)MA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do payers reference THOMAS M DODGE (PMHNP-BC)?
For THOMAS M DODGE (PMHNP-BC), use NPI 1164767471 as the unique 10-digit identifier.
Is THOMAS M DODGE (PMHNP-BC) still an active registrant?
THOMAS M DODGE (PMHNP-BC) carries an active NPI according to the public dataset.
What area of care is associated with THOMAS M DODGE (PMHNP-BC)?
THOMAS M DODGE (PMHNP-BC)'s record emphasizes Child & Family Psychiatric/Mental Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is THOMAS M DODGE (PMHNP-BC) registered?
Use Framingham, Massachusetts as the headline location for THOMAS M DODGE (PMHNP-BC) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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