Active NPI
Tanner M Dodson, DPM
- Foot & Ankle Surgery Podiatrist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 385
- Practice address
- 4130 Pioneer Woods Dr Ste 1
Lincoln, NE 68506-7552 - Phone
- (402) 489-4700
- Fax
- (402) 489-5220
- NPI assigned
- Nov 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 385 | NE | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 135.001028 | IL |
Addresses
Primary practice location
4130 Pioneer Woods Dr Ste 1
Lincoln, NE 68506-7552
Mailing address
4130 Pioneer Woods Dr Ste 1
Lincoln, NE 68506-7552
Phone (402) 489-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135.001028 | Other | IL | STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4130 Pioneer Woods Dr
Suite 1
Lincoln, NE 68506-7552
Phone (402) 489-4700
Hospital & facility affiliations
- Fillmore County Hospital
- Henderson Community Hospital
- Bryan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.31 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 39 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 163 |
| Removal or shaving of skin growth | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 385 | NE | MD | Psychologist |
| 135.001028 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Orthopaedic & Plastic Surgery, P.C. | Current | Accepting new patients | |
| Prairie Orthopaedic & Plastic Surgery, PC | Current | Accepting new patients |
Locations
4130 Pioneer Woods Dr
Ste 1
Lincoln, NE 68506
Phone (402) 489-4700
5901 N 28th St
Lincoln, NE 68504
Phone (402) 489-4700
Interoperability endpoints
- tdodson@prairie.curemd.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Lincoln, NE
- NPI 1639206147
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1174243489
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- Critical Access Hospital
- Geneva, NE
- NPI 1689769382
-
- Critical Access Hospital
- Henderson, NE
- NPI 1336243583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1013486265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 PIONEER WOODS DR STE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067552",
"telephone_number": "402-489-4700",
"fax_number": "402-489-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 PIONEER WOODS DR STE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067552",
"telephone_number": "402-489-4700",
"fax_number": "402-489-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "TANNER",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-16",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NE",
"license": "385",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "135.001028",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
"identifier": "135.001028",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.