DR. CHARLES T DODSON (DO) – Emergency Medicine Physician, NPI 1689681454

DR. CHARLES T DODSON (DO) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 4243 (OK). The NPI Number for DR. CHARLES T DODSON (DO) is 1689681454

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES T DODSON (DO)
NPI
1689681454
Phone
(214) 712-2019
Address
1717 MAIN ST
Enumeration Date
2 August 2006
Last Update Date
25 October 2017

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6189987600
Graduation Year
1999 (27 years ago)
PAC ID
3375590433
Group Practice PAC ID
9830562016
Professional Enrollment ID
I20081114000376
Address ID
IL629595896MA3331XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

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Provider Addresses for DR. CHARLES T DODSON (DO)

  • Comerica Bank, 1717, Main Street, Downtown PID, Dallas, TX, Dallas, Dallas County, Texas, 75226, United States

    SUITE 5200

    DALLAS, TX 752014612

    Phone: (214) 712-2019

    Fax: (214) 712-2487

    Type: Mailing

  • Northwest Lake Avenue, Lawton, Comanche County, Oklahoma, 73505, United States

    LAWTON, OK 735076577

    Phone: (580) 357-2304

    Fax: (214) 712-2487

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20070427000029IEmergency MedicineINTBD
I20081114000376IEmergency MedicineILTBD
I20101105000009IEmergency MedicineMOTBD
I20220225002388IEmergency MedicineKYTBD

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
99284Emergency department visit with moderate level of medical decision making139130$0
99285Emergency department visit with high level of medical decision making124120$0
99283Emergency department visit with low level of medical decision making4139$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2323$0
99282Emergency department visit with straightforward medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 75201)

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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: 9830562016View full group profile
NameSpecialtyState
Hospitalist, Family PracticeIL
Hospitalist, Internal MedicineIL
Pulmonary DiseaseNM
Internal Medicine, Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H O S P I T A L I S TMO
Neurology, Critical Care (Intensivists)IN
Physician AssistantIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. CHARLES T DODSON (DO)?
NPI 1689681454 is assigned to DR. CHARLES T DODSON (DO) under the national enumeration system.
Is DR. CHARLES T DODSON (DO) active in the national directory?
DR. CHARLES T DODSON (DO)'s public NPI profile is in an active state.
Does DR. CHARLES T DODSON (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. CHARLES T DODSON (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CHARLES T DODSON (DO)?
The page summarizes Dallas, Texas for DR. CHARLES T DODSON (DO); expand the address list for detail.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.