THERON LEROY DOBSON (M.D.) – Neurology Physician, NPI 1033311253

THERON LEROY DOBSON (M.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301098176 (MI). The NPI Number for THERON LEROY DOBSON (M.D.) is 1033311253

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
THERON LEROY DOBSON (M.D.)
NPI
1033311253
Phone
(734) 747-6766
Address
24 FRANK LLOYD WRIGHT DR
Enumeration Date
1 June 2007
Last Update Date
4 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347121400
Graduation Year
2007 (19 years ago)
PAC ID
5799949053
Group Practice PAC ID
2466351440
Professional Enrollment ID
I20120618000298
Address ID
MI488431410HO524XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

965 NEUROLOGY in MI

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Provider Addresses for THERON LEROY DOBSON (M.D.)

  • Domino's Farms Office Park, 24, Frank Lloyd Wright Drive, Domino Farms, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States

    LOBBY J

    ANN ARBOR, MI 481059484

    Phone: (734) 747-6766

    Fax: (734) 222-3100

    Type: Mailing

  • McAuley Drive, Ypsilanti, Washtenaw County, Michigan, 48107, United States

    STE 6109

    YPSILANTI, MI 481971014

    Phone: (734) 712-1400

    Fax: (734) 712-1670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-06-18

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
I20120618000298INeurologyMITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes174146$0
99204New patient office or other outpatient visit, 45-59 minutes5858$0
99214Established patient office or other outpatient visit, 30-39 minutes4443$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3838$0
99205New patient office or other outpatient visit, 60-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 48105)

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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: 2466351440View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
Interventional RadiologyMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Physician AssistantMI
-MI
-MI
Internal Medicine, Geriatric MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Family PracticeMI

Reviews

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Frequently asked questions

Where can patients find THERON LEROY DOBSON (M.D.)'s NPI?
You can confirm THERON LEROY DOBSON (M.D.) with NPI 1033311253; it appears in the national provider directory.
Is THERON LEROY DOBSON (M.D.)'s NPI currently valid?
The extract we use shows THERON LEROY DOBSON (M.D.) as active.
Does THERON LEROY DOBSON (M.D.) list a primary specialty?
If you are matching referrals, note Neurology Physician for THERON LEROY DOBSON (M.D.). Clinical services aligned with this taxonomy classification.
Where is THERON LEROY DOBSON (M.D.)'s primary listing?
We display Ann Arbor, Michigan because that is what the record indicates for THERON LEROY DOBSON (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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