DR. JOHN D DICKENS JR. MD, MPH, SFHM
NPI 1053390609
Internal Medicine in Lewiston, ME

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
89.29/100
CMS Quality Rating
300 MAIN ST, LEWISTON, ME 04240(207) 795-0111 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John D Dickens Jr. Md, Mph, Sfhm NPPES

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

DR. JOHN D DICKENS JR. MD, MPH, SFHM (NPI 1053390609) is an individual internal medicine provider in Lewiston, Maine, licensed in Maine (016935) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and maintains a secondary practice location in Fort Collins.

NPPES Registry Identity

NPI1053390609
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN D DICKENS JR.Credential: MD, MPH, SFHM
Location Address300 MAIN STLewiston, ME 04240-7007
Mailing Address300 Main StLewiston, ME 04240-7027 · (207) 795-0111
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 12, 2006
Last NPPES UpdateOctober 8, 2020
NPPES CertifiedOctober 8, 2020
✔ NPI 1053390609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ME · 016935✔ Licensed in CO · DR.0064553
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 MAIN ST, Lewiston, ME 04240

Secondary Practice Location 1

Location 12637 Midpoint Dr Ste BFort Collins, CO 80525-4408 · Phone (970) 488-1666

Other Identifiers 1

Other016535ME · Stste Of Maine License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John D Dickens Jr. Md, Mph, Sfhm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830169697
PECOS Enrollment IDI20200923001555
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 Reassignments

4

Medicare enrollment records show John Dickens reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
Hospice and Palliative Medicine
4075 W 11TH ST
Greeley, CO 80634
  • Reassigned Medicare billing, Colorado enrollment
  • 108 clinicians in this Medicare group
Hospitalist
2021 BATTLECREEK DR UNIT A
Fort Collins, CO 80528
  • Reassigned Medicare billing, Colorado enrollment
  • 92 clinicians in this Medicare group

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 7

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 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.
311 services155 patients
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.
105 services61 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.
103 services101 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
96 services94 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
300 MAIN ST, CENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240
Physical Therapist
300 MAIN ST
LEWISTON, ME 04240
Speech-Language Pathologist
300 MAIN ST
LEWISTON, ME 04240
Internal Medicine
300 MAIN ST
LEWISTON, ME 04240
Radiology (Diagnostic Radiology)
300 MAIN ST
LEWISTON, ME 04240
Nurse Anesthetist, Certified Registered
300 MAIN ST
LEWISTON, ME 04240
Emergency Medicine
300 MAIN ST
LEWISTON, ME 04240
Internal Medicine
300 MAIN ST
LEWISTON, ME 04240

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 John Dickens's NPI number?

The NPI number for John Dickens is 1053390609. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is John Dickens located?

John Dickens practices at 300 Main St, Lewiston, ME 04240. The listed phone number is (207) 795-0111.

What is John Dickens's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Dickens enrolled in Medicare?

Yes. John Dickens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Dickens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dickens reassigns Medicare benefits to 4 organizations: Central Maine Medical Center (Lewiston, ME), Bridgton Hospital (Bridgton, ME), Pathways Hospice (Greeley, CO) and Northern Colorado Hospitalists Professional LLC (Fort Collins, CO). Each 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 John Dickens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Dickens accept?

Health plans from Taro Health list John Dickens 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.

Is John Dickens affiliated with any hospitals?

According to CMS data, John Dickens is affiliated with Regional West Medical Center.

When was this NPI record last updated?

The NPPES record for John Dickens was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.