DR. KENNETH BRENTON DODGE (M.D.) – Family Medicine Physician, NPI 1417951302

DR. KENNETH BRENTON DODGE (M.D.) is a healthcare provider. based in Franklin, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD0000017056 (TN). The NPI Number for DR. KENNETH BRENTON DODGE (M.D.) is 1417951302

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH BRENTON DODGE (M.D.)
NPI
1417951302
Phone
(615) 794-8412
Address
1311 W MAIN ST
Enumeration Date
8 June 2005
Last Update Date
14 March 2024

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
2769574755
Group Practice PAC ID
6204069602
Professional Enrollment ID
I20070822000929
Address ID
TN370675920FR4323XPKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for DR. KENNETH BRENTON DODGE (M.D.)

  • 1311, West Main Street, Rolling Meadows, Franklin, Williamson County, Tennessee, 37064, United States

    FRANKLIN, TN 370643300

    Phone: (615) 794-8412

    Fax: (615) 591-7911

    Type: Location

  • 4323 CAROTHERS PKWY STE 505

    FRANKLIN, TN 370675920

    Phone: (615) 435-7780

    Type: Mailing

  • 1950 DOWNS BLVD STE 102

    FRANKLIN, TN 370641562

    Phone: (615) 435-7780

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,246.

Total Amount is formed as General ($1,246) + Research ($0) + Ownership ($0) = $1,246.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($303).

Total Amount

$1,246

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2007-08-22

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
I20070822000929IFamily PracticeTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes866299$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes48555$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10029$0
99215Established patient office or other outpatient visit, 40-54 minutes8474$0
G0008Administration of influenza virus vaccine6464$0
View full utilization report →

Insurance plans in this area (ZIP 37064)

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Provider's Procedures

DR. KENNETH BRENTON DODGE (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETN83036Hemoglobin A1C level5247
FAMILY MEDICINETN90670Pneumococcal vaccine for injection into muscle4242

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: 6204069602View full group profile
NameSpecialtyState
Pulmonary DiseaseTN
General SurgeryTN
Internal Medicine, Pulmonary DiseaseTN
N E U R O L O G YTN
Nurse PractitionerTN
-TN
Family PracticeTN
General SurgeryTN
Physician AssistantGA
N E U R O L O G YTN

Reviews

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Frequently asked questions

Can I cross-check DR. KENNETH BRENTON DODGE (M.D.) using NPI 1417951302?
NPI 1417951302 belongs to DR. KENNETH BRENTON DODGE (M.D.); compare other details if you need extra assurance.
Is there an active status for DR. KENNETH BRENTON DODGE (M.D.)?
For scheduling context, DR. KENNETH BRENTON DODGE (M.D.) is shown as active in the registry.
What expertise is attributed to DR. KENNETH BRENTON DODGE (M.D.)?
DR. KENNETH BRENTON DODGE (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KENNETH BRENTON DODGE (M.D.)?
Directory geography for DR. KENNETH BRENTON DODGE (M.D.) centers on Franklin, Tennessee.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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