DAWN MICHELLE SODDERS (PA) – Medical Physician Assistant, NPI 1861156291

DAWN MICHELLE SODDERS (PA) is a healthcare provider. based in Fairfield, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for DAWN MICHELLE SODDERS (PA) is 1861156291

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DAWN MICHELLE SODDERS (PA)
NPI
1861156291
Phone
(513) 347-9999
Address
3050 MACK RD STE 200
Enumeration Date
22 October 2021
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
0244321347
Group Practice PAC ID
3971907759
Professional Enrollment ID
I20211203001954
Address ID
OH452366706CI4750XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for DAWN MICHELLE SODDERS (PA)

  • 3050 MACK RD STE 200

    FAIRFIELD, OH 450145375

    Phone: (513) 347-9999

    Fax: (513) 215-9397

    Type: Mailing

  • 4777 E Galbraith Rd

    Cincinnati, OH 452362725

    Phone: (513) 686-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,606.

Total Amount is formed as General ($1,606) + Research ($0) + Ownership ($0) = $1,606.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Legacy Ortho LLC ($593).

Total Amount

$1,606

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2021-12-03

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
I20211203001954IPhysician AssistantOHTBD

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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg86214$0
99213Established patient office or other outpatient visit, 20-29 minutes5745$0
J1030Injection, methylprednisolone acetate, 40 mg4213$0
20610Aspiration and/or injection of fluid from large joint3127$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 45014)

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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: 3971907759View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOH
Infectious DiseaseOH
P S Y C H I A T R YOH
N E U R O L O G YOH
General SurgeryOH
Orthopedic Surgery, Sports MedicineOH
Surgical OncologyOH
Vascular SurgeryOH
Thoracic SurgeryCA
General SurgeryOH

Reviews

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Frequently asked questions

How is DAWN MICHELLE SODDERS (PA) identified in CMS data?
CMS-hosted NPPES data lists DAWN MICHELLE SODDERS (PA) with NPI 1861156291.
Does CMS list DAWN MICHELLE SODDERS (PA) as active?
Yes — DAWN MICHELLE SODDERS (PA) is active in the NPI listing used on this page.
What is DAWN MICHELLE SODDERS (PA)'s primary classification?
Medical Physician Assistant is the headline specialty for DAWN MICHELLE SODDERS (PA) here. Clinical services aligned with this taxonomy classification.
Does DAWN MICHELLE SODDERS (PA) list a practice location?
Patients near Fairfield, Ohio may find DAWN MICHELLE SODDERS (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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