Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164698619 Individual Practitioner Male Practitioner

Dr. David Kirk Dodson , MD

General Practice • Plymouth, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Dodson, MD is a certified General Practice practicing in Plymouth, MN. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Dodson delivers high-quality medical care to the local community at 28 NATHAN LN N.

Dr. Dodson accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, testing for presence of drug, read by direct observation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

28 Nathan Ln N

Plymouth, MN 554416306

Telephone 7635887099
Fax 7635222222
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Plymouth, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs Matches City Avg
City Avg: 20.0 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Plymouth, MN (95 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dodson (20 Years) 20 Yrs
Plymouth Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
489 43 $285.60 $87.60

Medical Specialties & State Licenses

CMS Verified: 2023-05-09
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MN 52435

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine - Addiction Medicine

NUCC Taxonomy Code: 207QA0401X

State License MN 52435

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Resident Permit
20192 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1003987876

Doctor of Chiropractic

Eric Van Hecke , PA-C, MPAS

Physician Assistant - Medical

NPI 1275850927

Physician Assistant (Certified), MPAS

Tammie Porras , NP

Nurse Practitioner - Adult Health

NPI 1649201161

Nurse Practitioner

Erving London , CNP

Nurse Practitioner

NPI 1730145764

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location February 15, 2024

Registered at 28 NATHAN LN N, PLYMOUTH, MN 554416306 (Tel: 7635887099)

📍
Updated Business Mailing Address February 15, 2024

Registered at 28 NATHAN LN N, PLYMOUTH, MN 554416306 (Tel: 7635887099)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2023

Family Medicine (License #52435 in MN)

📍
Updated Practice Location February 03, 2021

Registered at 36 NATHAN LN N, PLYMOUTH, MN 554416306 (Tel: 7635887099)

📍
Updated Business Mailing Address February 03, 2021

Registered at 36 NATHAN LN N, PLYMOUTH, MN 554416306 (Tel: 7635887099)

📍
Updated Practice Location March 21, 2018

Registered at 4600 LAKE ROAD AVE, ROBBINSDALE, MN 554221800 (Tel: 7635887099)

📍
Updated Business Mailing Address March 21, 2018

Registered at 4600 LAKE ROAD AVE STE 301, ROBBINSDALE, MN 554221845 (Tel: 7635887099)

NPI Profile Active June 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2015

Registered at 810 N. LILAC DRIVE, #100, GOLDEN VALLEY, MN 55422 (Tel: 7635887099)

📍
Updated Business Mailing Address June 10, 2015

Registered at 810 N. LILAC DR., #100, GOLDEN VALLEY, MN 55422 (Tel: 7635887099)

👤
Provider Name / Credentials Updated June 10, 2015

Recorded as DAVID DODSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2015

General Practice (License ##52435 in MN)

🟢
Initial NPI Registration & Enumeration May 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164698619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2008
Last Update: February 15, 2024
Sole Proprietor: Yes

Mailing Address

28 Nathan Ln N

Plymouth, MN 554416306

Phone: 7635887099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.