MR. JEFFERY ALLEN DODDS (CCC-A) – Audiologist, NPI 1164482121

MR. JEFFERY ALLEN DODDS (CCC-A) is a healthcare provider. based in St louis park, Minnesota. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials CCC-A. The NPI Number for MR. JEFFERY ALLEN DODDS (CCC-A) is 1164482121

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFERY ALLEN DODDS (CCC-A)
NPI
1164482121
Phone
Not provided
Address
6465 WAYZATA BLVD
Enumeration Date
24 March 2006
Last Update Date
6 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
2000 (26 years ago)
PAC ID
9830267475
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20081008000829
Address ID
MN554162527ST3800XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

264 QUALIFIED AUDIOLOGIST in MN

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Provider Addresses for MR. JEFFERY ALLEN DODDS (CCC-A)

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone:

    Type: Mailing

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-1250

    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: 2008-10-08

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
I20081008000829IQualified AudiologistMNTBD

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
92557Comprehensive hearing and speech recognition test9595$0
92567Test to assess middle ear function4949$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

MR. JEFFERY ALLEN DODDS (CCC-A) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTMN92567Eardrum testing using ear probe4848

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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN
-MN
O B S T E T R I C S/ G Y N E C O L O G YMN

Reviews

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Frequently asked questions

What identifier follows MR. JEFFERY ALLEN DODDS (CCC-A) across health systems?
The NPI 1164482121 uniquely identifies MR. JEFFERY ALLEN DODDS (CCC-A) in U.S. healthcare data.
Quick check: is MR. JEFFERY ALLEN DODDS (CCC-A) active?
Public NPPES data shows MR. JEFFERY ALLEN DODDS (CCC-A) with an active NPI status right now.
What does the directory say MR. JEFFERY ALLEN DODDS (CCC-A) does?
Insurance directories may phrase it differently, but here MR. JEFFERY ALLEN DODDS (CCC-A) maps to Audiologist. Clinical services aligned with this taxonomy classification.
Is MR. JEFFERY ALLEN DODDS (CCC-A) tied to St Louis Park, Minnesota?
If you are local to St Louis Park, Minnesota, MR. JEFFERY ALLEN DODDS (CCC-A) may be relevant to your search.
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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