LORI JEAN DOTSON (MD) – Internal Medicine Physician, NPI 1639198179

LORI JEAN DOTSON (MD) is a healthcare provider. based in South haven, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301074647 (MI). The NPI Number for LORI JEAN DOTSON (MD) is 1639198179

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
LORI JEAN DOTSON (MD)
NPI
1639198179
Phone
(269) 639-2833
Address
965 S BAILEY AVE
Enumeration Date
18 July 2006
Last Update Date
22 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2694297100
Graduation Year
1990 (36 years ago)
PAC ID
8022004621
Group Practice PAC ID
9537178116
Professional Enrollment ID
I20040421000197
Address ID
MI490853421SA4025XLNXX400
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

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for LORI JEAN DOTSON (MD)

  • 965, South Bailey Avenue, South Haven, Van Buren County, Michigan, 49090, United States

    SOUTH HAVEN, MI 490906743

    Phone: (269) 639-2833

    Fax: (269) 639-2776

    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)

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: 2004-04-21

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
I20040421000197IInternal MedicineMITBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5535$0
20610Aspiration and/or injection of fluid from large joint3522$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2922$0
J1030Injection, methylprednisolone acetate, 40 mg2111$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 49090)

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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: 9537178116View full group profile

Reviews

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Frequently asked questions

Does LORI JEAN DOTSON (MD) have a public NPI I can cite?
Public records show LORI JEAN DOTSON (MD) under NPI 1639198179.
Quick check: is LORI JEAN DOTSON (MD) active?
Public NPPES data shows LORI JEAN DOTSON (MD) with an active NPI status right now.
How should patients interpret LORI JEAN DOTSON (MD)'s specialty?
The extract shows Internal Medicine Physician for LORI JEAN DOTSON (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LORI JEAN DOTSON (MD)?
LORI JEAN DOTSON (MD) is associated with South Haven, Michigan in the same public data insurers reference.
Can I export LORI JEAN DOTSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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