DR. JAMES THEODORE JR. DODGE (MD) – Interventional Cardiology Physician, NPI 1619905429

DR. JAMES THEODORE JR. DODGE (MD) is a healthcare provider. based in Wenatchee, Washington. specializing in INTERVENTIONAL CARDIOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00031058 (WA). The NPI Number for DR. JAMES THEODORE JR. DODGE (MD) is 1619905429

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES THEODORE JR. DODGE (MD)
NPI
1619905429
Phone
(509) 663-8711
Address
1201 S MILLER ST STE A
Enumeration Date
29 June 2006
Last Update Date
14 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
7810979929
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20040602001662
Address ID
WA983351706GI4700XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

182 INTERVENTIONAL CARDIOLOGY in WA

Provider Addresses for DR. JAMES THEODORE JR. DODGE (MD)

  • 1201 S MILLER ST STE A

    WENATCHEE, WA 988013201

    Phone: (509) 663-8711

    Type: Location

  • Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $410.

Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Abbott Laboratories ($256).

Total Amount

$410

General + Research + Ownership

Payments

5

Total payment records

General Amount

$410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

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: 2004-06-02

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
I20040602001662IInterventional CardiologyWATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,6031,382$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function453451$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or26696$0
93248Heart rhythm review and interpretation of continous external ekg over 8-15 days146142$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician131130$0
View full utilization report →

Insurance plans in this area (ZIP 98801)

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Provider's Procedures

DR. JAMES THEODORE JR. DODGE (MD) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYWA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies5353
INTERVENTIONAL CARDIOLOGYWA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin3024
INTERVENTIONAL CARDIOLOGYWA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report20771430

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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

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Frequently asked questions

Is there an official ID for DR. JAMES THEODORE JR. DODGE (MD) in U.S. healthcare records?
The official identifier for DR. JAMES THEODORE JR. DODGE (MD) is NPI 1619905429.
Active or inactive — what applies to DR. JAMES THEODORE JR. DODGE (MD)?
You should see DR. JAMES THEODORE JR. DODGE (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. JAMES THEODORE JR. DODGE (MD)?
DR. JAMES THEODORE JR. DODGE (MD) is associated with Interventional Cardiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is DR. JAMES THEODORE JR. DODGE (MD) registered?
Use Wenatchee, Washington as the headline location for DR. JAMES THEODORE JR. DODGE (MD) here.
Can I trust this NPI listing for DR. JAMES THEODORE JR. DODGE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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