JENNIFER REBECCA DODSON (P.A.) – Physician Assistant, NPI 1467450510
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for JENNIFER REBECCA DODSON (P.A.)
105 S BRYANT AVE STE 105
EDMOND, OK 730346330
Phone: (405) 359-5403
Fax: (405) 359-5112
Type: Mailing
9800 BROADWAY EXT STE 201
OKLAHOMA CITY, OK 731146304
Phone: (405) 424-5426
Fax: (405) 424-5431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Forte Bio-Pharma LLC ($50).
Total Amount
$50
General + Research + Ownership
Payments
1
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Forte Bio-Pharma LLC | $50 |
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: 2004-06-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040603000613 | I | Physician Assistant | OK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | OK | |
| R H E U M A T O L O G Y | OK | |
| Orthopedic Surgery, Hand Surgery | OK | |
| A N E S T H E S I O L O G Y | OK | |
| Hospitalist, Internal Medicine | OK | |
| Pediatric Medicine, Hematology/Oncology | VA | |
| Pulmonary Disease, Internal Medicine | OK | |
| Clinical Psychologist | OK | |
| Emergency Medicine | OK | |
| Critical Care (Intensivists), Pediatric Medicine | OK |
Reviews
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