Providers

DAWN R UNDERWOOD

NPI 1083002729, individual, Anchorage, AK, Nurse Practitioner, Family

5
Evidence tier
informational
  • Medicaid dollars per patient on code 99213 ($409 per patient-month) sit in the top 5% of every provider billing that code.
score 31 of 100, rank 11350, $32 at stake

Public list actions

Medicare revocation effective August 23, 2025, barred from re-enrolling until August 22, 2030
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Nurse Practitioner, TX
Medicare revocation effective August 30, 2025, barred from re-enrolling until August 29, 2030
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Nurse Practitioner, MT
Medicare revocation effective November 7, 2024, barred from re-enrolling until August 26, 2030
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Nurse Practitioner, AK
Medicare revocation effective August 23, 2025, barred from re-enrolling until August 22, 2030
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report, Practitioner - Nurse Practitioner, CO

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(1) noncompliance (not professionally licensed) and 424.535(a)(9) failure to report
Exact NPI, name verifiedNov 7, 2024Aug 26, 20301Dec 2024Dec 2024$32$195K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameDAWN R UNDERWOOD (also DAWN BUTLER)
TypeIndividual, sole proprietor
StatusActive
NPI issuedJanuary 5, 2015, last updated March 30, 2022
Practice location360 W BENSON BLVD STE 310, Anchorage, AK 99503-3953, 907-268-2327
Mailing address6356 S HALLIE DR, Wasilla, AK 99623-8853
Specialties
Nurse Practitioner, Family (363LF0000X, primary, license 30319 MT)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$228K45%$409$44 (top 5% from $110)100th percentile
H0016Medicaid service code$195K38%$242$245 (top 5% from $397)47th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$68K13%$145$60 (top 5% from $133)96th percentile
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$8K2%$682$28 (top 5% from $147)too few months to rank
82075Measurement of alcohol level in breath specimen$5K1%$27$29 (top 5% from $75)too few months to rank
G2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month$2K0%$67$94 (top 5% from $603)too few months to rank
Q3014Telehealth originating site facility fee$6890%$29$21 (top 5% from $84)too few months to rank
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$1190%$8.52$95 (top 5% from $171)too few months to rank
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
80307Testing for presence of drug, by chemistry analyzers5413$3K$200$603.4x3.2x (90th percentile 7.6x)
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4521$3K$230$1052.2x2.3x (90th percentile 3.8x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

7 providers in AK carry an indicator in the public record, with $1.1M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by named in an enforcement record on 2. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
13707 OREGON LLC
Anchorage, AK, ranked 660
$0
  • Adjudicated (pleaded guilty) per a state attorney general release dated December 1, 2025.
  • No Medicaid payments in the last 12 observed months.
3EH HEALTH HOSPICE OF THE NORTHWEST, LLC
Anchorage, AK, ranked 1915
$0
  • Part of provider network D1-00039, ranked 39 nationally.
3MELISSA DOBBS
Wasilla, AK, ranked 3239
$0
  • Charged (indicted) per a Department of Justice release dated February 6, 2024, not adjudicated.
3MD CHOICE HOSPICE OF ALASKA INC
Anchorage, AK, ranked 5983
$0
  • Part of provider network D1-00039, ranked 39 nationally.
4BRUCE MCCLELLAN
Fairbanks, AK, ranked 8013
$233K
  • Hours beyond a day in 1 month, but with up to 334 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4COURTNEY MOODY
Eagle River, AK, ranked 9660
$41K
  • Hours beyond a day in 2 months, but with up to 1004 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5DANIEL MARDONES
Anchorage, AK, ranked 10155
$785K
  • Medicaid dollars per patient on code 99232 ($460 per patient-month) sit in the top 5% of every provider billing that code.

Recent enforcement in AK

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJSentencedMar 18, 2026
Anchorage Doctor Sentenced to Prison for Multi-Million-Dollar Health Care Fraud and Tax Evasion
The Tans deceived patients about the medications injected, injecting free samples, expired medications and medications other than those prescribed, and billed more than 10 insurance plans for 4,829 units of medication despite purchasing only 369 units, and filed false tax returns overstating clinic expenses.
DOJPleaded guiltyNov 18, 2025
Anchorage Doctor and Husband Plead Guilty to Multi-Million Dollar Health Care, Tax Fraud Schemes
An Anchorage rheumatologist and her husband underdosed patients, injected free samples, expired, or different medications, and billed more than 10 insurance plans for 4,829 units of medication despite purchasing only 369 units, and overstated clinic expenses on tax returns.
DOJIndictedJul 22, 2024
Alaska Doctor and Her Husband Charged with Health Care Fraud and Tax Evasion
The indictment alleges the couple defrauded health care benefit programs by causing the submission of false claims that misrepresented the type and dosage of medication and the scope of medical services provided to patients, created false medical records, and evaded income taxes.
DOJIndictedJul 22, 2024
Anchorage doctor and her husband charged with health care fraud and tax evasion
The indictment alleges the couple defrauded health care benefit programs by causing the submission of false claims that misrepresented the type and dosage of medication and the scope of medical services provided to patients, created false medical records, and evaded income taxes.
DOJIndictedFeb 19, 2024
Matanuska Valley Woman charged with healthcare fraud, false statements
Beginning in January 2017, Dobbs allegedly executed and attempted to execute a scheme to defraud healthcare benefit programs and made a false statement to a federally insured bank in a loan application.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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