MR. JAMES WILEY DICKERSON III MD
NPI 1023004512
Psychiatry & Neurology - Psychiatry in Eugene, OR

Q: What is James Dickerson's NPI number?

The NPI number for James Dickerson is 1023004512. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is James Dickerson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for James Dickerson was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2005PECOS Enrolled

1200 HILYARD ST, SUITE S-460, EUGENE, OR 97401(541) 685-1794 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. James Wiley Dickerson Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES WILEY DICKERSON III MD (NPI 1023004512) is an individual psychiatry provider in Eugene, Oregon, licensed in Massachusetts (1020407) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023004512

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMR. JAMES WILEY DICKERSON IIICredential: MD

Location Address1200 HILYARD ST, SUITE S-460Eugene, OR 97401-8122

Mailing AddressPo Box 24410Eugene, OR 97402-0451

Phone(541) 685-1794

Sole ProprietorNo

Enumeration DateSeptember 21, 2005

Last NPPES UpdateJanuary 31, 2025

NPPES CertifiedJanuary 31, 2025

✔ NPI 1023004512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MA · 1020407✔ Licensed in OR · MD150778

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1200 HILYARD ST, Eugene, OR 97401

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Wiley Dickerson Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alliance For South Sound Health

223 mi

Psychiatric Hospital

3402 S 19TH ST
Tacoma, WA 98405

Reassigned Medicare billing, Washington enrollment
87 clinicians in this Medicare group

NPI 1891298980 (253) 552-8586

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

137 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services20 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

24 services23 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS F KEEFE PHD

Psychologist (Clinical)

1200 HILYARD ST, SUITE 420
EUGENE, OR 97401

Lane County (541) 744-0828

ERIN COUTURE LCSW

Social Worker (Clinical)

1200 HILYARD ST, SUITE 420
EUGENE, OR 97401

Lane County (541) 744-0828

DR. RAYMOND CHARLES RAY MD

Pain Medicine (Pain Medicine)

1200 HILYARD ST, SUITE 230
EUGENE, OR 97401

Lane County (458) 205-6041

LAURIE C CARMICHAEL PNP

Nurse Practitioner (Pediatrics)

1200 HILYARD ST, SUITE 440
EUGENE, OR 97401

Lane County (458) 205-6061

OLUGBENGA OMOTAYO SULAIMAN M.D.

Orthopaedic Surgery (Sports Medicine)

1200 HILYARD ST, SUITE 600
EUGENE, OR 97401

Lane County (541) 485-8111

OREGON IMAGING CENTERS, L.L.C.

Radiology (Diagnostic Radiology)

1200 HILYARD ST, #330
EUGENE, OR 97401

Lane County (541) 687-7134

ELLIE S YOUNG

Peer Specialist

1200 HILYARD ST
EUGENE, OR 97401

Lane County (541) 913-3020

SUNIL JACQUES

Psychiatry & Neurology (Psychiatry)

1200 HILYARD ST, SUITE S-460
EUGENE, OR 97401

Lane County (541) 685-1794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Dickerson's NPI number?

The NPI number for James Dickerson is 1023004512. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is James Dickerson located?

James Dickerson practices at 1200 Hilyard St Suite S-460, Eugene, OR 97401. The listed phone number is (541) 685-1794.

What is James Dickerson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Dickerson enrolled in Medicare?

Yes. James Dickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Dickerson reassigns Medicare benefits to Alliance For South Sound Health (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Dickerson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list James Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Dickerson was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.