Individual provider Active NPI

Matthew Taylor Dodds, M.D

  • Specialist
  • Casper, WY
National Provider Identifier
1225092562
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4462A Issued in WY
Practice address
1421 Wilkins Cir
Casper, WY 82601-1337
Phone
(307) 237-2511
Fax
(307) 237-7351
NPI assigned
Apr 13, 2006
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4462A WY Primary

Addresses

Primary practice location

1421 Wilkins Cir
Casper, WY 82601-1337

Mailing address

1421 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 237-2511

Other identifiers 2

IdentifierTypeStateIssuer
104679900MedicaidWY
310643OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000569 WY Practitioner - Ophthalmology 0648253096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1421 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 237-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4462AWYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Center for Sight P.C. Specialist CurrentSince Aug 1, 1991 Accepting new patients
Western Ambulatory Surgery LLC Past Accepting new patients

Locations

1421 Wilkins Cir
Casper, WY 82601
Phone (307) 237-2511

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: matthew.dodds@direct.wyomingmedicalcenter.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1225092562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-237-2511",
            "fax_number": "307-237-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-237-2511",
            "fax_number": "307-237-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDS",
        "first_name": "MATTHEW",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": "4462A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104679900",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "310643",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.