AARON NICHOLAS DODGE (PA-C) – Physician Assistant, NPI 1568003622

AARON NICHOLAS DODGE (PA-C) is a healthcare provider. based in Kansas city, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2019034866 (MO). The NPI Number for AARON NICHOLAS DODGE (PA-C) is 1568003622

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
AARON NICHOLAS DODGE (PA-C)
NPI
1568003622
Phone
(573) 331-5583
Address
PO BOX 801143
Enumeration Date
30 September 2019
Last Update Date
3 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
8426480898
Group Practice PAC ID
9931007929
Professional Enrollment ID
I20191125000394
Address ID
MO637035049CA24XXXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for AARON NICHOLAS DODGE (PA-C)

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-5583

    Fax: (573) 331-5079

    Type: Mailing

  • 3250 GORDONVILLE RD STE 384

    CAPE GIRARDEAU, MO 637035095

    Phone: (573) 331-5522

    Fax: (573) 331-5523

    Type: Location

  • 171, Lakeside Drive, Jackson Township, Butler County, Pennsylvania, 16033, United States

    JACKSON, MO 637558355

    Phone: (573) 450-6271

    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) 331-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-02-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-16

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: 2019-11-25

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
I20191125000394IPhysician AssistantMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2322$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1717$0
View full utilization report →

Insurance plans in this area (ZIP 64180)

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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: 9931007929View full group profile
NameSpecialtyState
-MO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMO
General SurgeryMO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

Can I cross-check AARON NICHOLAS DODGE (PA-C) using NPI 1568003622?
NPI 1568003622 belongs to AARON NICHOLAS DODGE (PA-C); compare other details if you need extra assurance.
Would AARON NICHOLAS DODGE (PA-C) appear as active to a payer?
You can treat AARON NICHOLAS DODGE (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with AARON NICHOLAS DODGE (PA-C)?
AARON NICHOLAS DODGE (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AARON NICHOLAS DODGE (PA-C)?
Travel planning: use Kansas City, Missouri as the reference point for AARON NICHOLAS DODGE (PA-C), then confirm.
When was this NPI issued?
Enumeration for AARON NICHOLAS DODGE (PA-C) is noted as September 30, 2019 where the registry provides it.

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