WILLIAM D. DODGE (M.D.) – Family Medicine Physician, NPI 1942233523

WILLIAM D. DODGE (M.D.) is a healthcare provider. based in Prosper, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. K6565 (TX). The NPI Number for WILLIAM D. DODGE (M.D.) is 1942233523

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM D. DODGE (M.D.)
NPI
1942233523
Phone
(469) 296-1679
Address
1590 W FRONTIER PKWY STE 100
Enumeration Date
8 July 2006
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
4692961679
Graduation Year
1995 (31 years ago)
PAC ID
3577503903
Group Practice PAC ID
9931001567
Professional Enrollment ID
I20050505000273
Address ID
TX750783196PR1590XPKWY401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for WILLIAM D. DODGE (M.D.)

  • 1590 W FRONTIER PKWY STE 100

    PROSPER, TX 750783196

    Phone: (469) 296-1679

    Fax: (692) 961-6804

    Type: Mailing

  • Pizza Hut, 4987, West University Drive, McKinney, Collin County, Texas, 75071, United States

    STE. 150

    MCKINNEY, TX 75071

    Phone: (972) 542-8464

    Fax: (972) 542-8468

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,103.

Total Amount is formed as General ($1,103) + Research ($0) + Ownership ($0) = $1,103.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($170).

Total Amount

$1,103

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2005-05-05

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
I20050505000273IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes222127$0
99214Established patient office or other outpatient visit, 30-39 minutes156101$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8080$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3735$0
83036Hemoglobin a1c level2318$0
View full utilization report →

Insurance plans in this area (ZIP 75078)

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Provider's Procedures

WILLIAM D. 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 MEDICINETX83036Hemoglobin A1C level6050

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: 9931001567View full group profile
NameSpecialtyState
General SurgeryTX
Internal Medicine, Pediatric MedicineTX
Physician AssistantNC
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for WILLIAM D. DODGE (M.D.)?
The registry entry for WILLIAM D. DODGE (M.D.) shows NPI 1942233523.
Is WILLIAM D. DODGE (M.D.)'s NPI status active today?
Active status means WILLIAM D. DODGE (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits WILLIAM D. DODGE (M.D.)?
NPPES ties WILLIAM D. DODGE (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to WILLIAM D. DODGE (M.D.)?
The directory associates WILLIAM D. DODGE (M.D.) with Prosper, Texas. Check all listed addresses for suites or satellite offices.
Who maintains WILLIAM D. DODGE (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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