BROOKE LYNN DODGE (PA-C) – Physician Assistant, NPI 1215570908
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for BROOKE LYNN DODGE (PA-C)
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-5583
Fax: (573) 331-5079
Type: Mailing
Decker Springs Road, Charleston, Coles County, Illinois, 61920, United States
CHARLESTON, IL 619208612
Phone: (217) 549-7058
Type: Mailing
Saint Francis Medical Center, 211, Saint Francis Drive, Cape Girardeau, Cape Girardeau County, Missouri, 63703, United States
CAPE GIRARDEAU, MO 637035049
Phone: (573) 331-5110
Fax: (573) 335-4689
Type: Location
70 DOCTORS PARK
CAPE GIRARDEAU, MO 637034928
Phone: (573) 335-6671
Fax: (573) 339-0083
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-04-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$144
General + Research + Ownership
Payments
2
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $125 |
| Bard Peripheral Vascular, Inc. | $19 |
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: 2019-12-13
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 |
|---|---|---|---|---|
| I20191213000396 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 95 | 26 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 65 | 52 | $0 |
Insurance plans in this area (ZIP 64180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology, Interventional Radiology | KS | |
| Interventional Radiology, Diagnostic Radiology | MO | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO |
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