DICKERMAN HOLLISTER MD
NPI 1063420669
Internal Medicine - Medical Oncology in Greenwich, CT

Active since August 03, 2006PECOS Enrolled
77 LAFAYETTE PL, GREENWICH, CT 06830(203) 863-3737(203) 863-3741 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dickerman Hollister Md NPPES

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

DICKERMAN HOLLISTER MD (NPI 1063420669) is an individual medical oncology provider in Greenwich, Connecticut, licensed in Connecticut (022791) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063420669
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDICKERMAN HOLLISTERCredential: MD
Location Address77 LAFAYETTE PLGreenwich, CT 06830-5426
Mailing Address77 Lafayette PlGreenwich, CT 06830-5426 · (203) 863-3737 · Fax (203) 863-3741
Fax(203) 863-3741
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063420669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in CT · 022791
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

77 LAFAYETTE PL, Greenwich, CT 06830

Other Identifiers 1

Medicare UPINC59736

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dickerman Hollister 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06830 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 18

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

Surgery
77 LAFAYETTE PL
GREENWICH, CT 06830
Nurse Practitioner
77 LAFAYETTE PL
GREENWICH, CT 06830
Internal Medicine (Medical Oncology)
77 LAFAYETTE PL
GREENWICH, CT 06830
Physician Assistant
77 LAFAYETTE PL, RADIATION ONCOLOGY-2ND FLOOR
GREENWICH, CT 06830
Internal Medicine (Medical Oncology)
77 LAFAYETTE PL
GREENWICH, CT 06830
Surgery (Surgical Oncology)
77 LAFAYETTE PL, SUITE 302
GREENWICH, CT 06830
Surgery (Surgical Oncology)
77 LAFAYETTE PL, SUITE 302
GREENWICH, CT 06830
Surgery
77 LAFAYETTE PL
GREENWICH, CT 06830

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 Dickerman Hollister's NPI number?

The NPI number for Dickerman Hollister is 1063420669. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Dickerman Hollister located?

Dickerman Hollister practices at 77 Lafayette Pl, Greenwich, CT 06830. The listed phone number is (203) 863-3737.

What is Dickerman Hollister's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Dickerman Hollister enrolled in Medicare?

Yes. Dickerman Hollister is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dickerman Hollister was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.