JEFFREY ALAN DODGE (DO) – Obstetrics & Gynecology Physician, NPI 1114993482
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,472 OBSTETRICS/GYNECOLOGY in NY
Provider Addresses for JEFFREY ALAN DODGE (DO)
46 BROAD STREET, SUITE A
PLATTSBURGH, NY 129013301
Phone: (518) 566-9452
Fax: (518) 566-9831
Type: Location
46 BROAD STREET, SUITE A,
PLATTSBURGH, NY 129013301
Phone: (518) 566-9452
Fax: (518) 562-7189
Type: Mailing
206, Cornelia Street, Plattsburgh, Clinton County, New York, 12901, United States
SUITE 306
PLATTSBURGH, NY 129012779
Phone: (518) 566-9452
Fax: (518) 562-7189
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $233.
Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Exeltis, USA Inc. ($77).
Total Amount
$233
General + Research + Ownership
Payments
10
Total payment records
General Amount
$233
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-04-19
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 |
|---|---|---|---|---|
| I20110419000822 | I | Obstetrics/Gynecology | NY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 45 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 68 | 68 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 66 | 66 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 53 | 47 | $0 |
| 58558 | Biopsy of lining of uterus and/or removal of polyp using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 12901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Internal Medicine | NY | |
| - | VA | |
| - | NY | |
| Thoracic Surgery | CA | |
| Physician Assistant | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| - | NY |
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