DR. ETOSHA D DIXON M.D.
NPI 1063473551
Family Medicine - Geriatric Medicine in Baltimore, MD

Active since April 01, 2006PECOS Enrolled
72.45/100
CMS Quality Rating
8800 WALTHER BLVD, BALTIMORE, MD 21234(410) 882-3240(410) 661-5093 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2022, Jun 29, 2020 (2 updates tracked since 2020).

About Dr. Etosha D Dixon M.d. NPPES

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

DR. ETOSHA D DIXON M.D. (NPI 1063473551) is an individual geriatric medicine provider in Baltimore, Maryland, licensed in Maryland (D61785) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1063473551
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDR. ETOSHA D DIXONCredential: M.D.
Location Address8800 WALTHER BLVDBaltimore, MD 21234-9001
Mailing Address5730 Executive Dr Ste 230Catonsville, MD 21228-1762 · (410) 402-2379 · Fax (410) 463-3085
Fax(410) 661-5093
Sole ProprietorNo
Enumeration DateApril 1, 2006
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1063473551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in MD · D61785
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 22045 (WV)
8800 WALTHER BLVD, Baltimore, MD 21234

Secondary Practice Location 1

Location 14538 Edmondson AveBaltimore, MD 21229-1506 · Phone (410) 328-2273 · Fax (410) 362-1750

Other Identifiers 11

Other0442052Evercare
Other9676-0039Carefirst Bcbs Of Dc
Other0123302Evercare
Other769698Bcbs
Other0056Carefirst Dc
Other093NSE-896608-01Carefirst Bcbs Of Md
Other89660801Bcbs Md
Medicaid805701000MD
OtherT016-0057Bcbs-dc
Other093NER-896608-01Carefirst Bcbs Of Md
Medicaid005559001MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Etosha D Dixon M.d. 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.

Areas of Expertise CMS Part B claims 32

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
354 services136 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
326 services147 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
273 services94 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
128 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
91 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21234 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

72.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.76
Promoting Interoperability98
Improvement Activities40
Cost26.61

Reported Quality Measures

Advance Care Plan
82%536 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
1%156 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
90%20 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
10%63 patients
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
0%77 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
77%2,231 patients3/55-star benchmark: 100%
e-Prescribing
99%429 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
83%539 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
62%413 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
40%268 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 84% · 226 patients
84%226 patients
Provide Patients Electronic Access to Their Health Information
92%249 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 467 patients
Patients totalRate: 3% · 471 patients
1%471 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers27 claims27 services$38.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
8800 WALTHER BLVD
BALTIMORE, MD 21234
Physician Assistant
8800 WALTHER BLVD
BALTIMORE, MD 21234
Nurse Practitioner (Family)
8800 WALTHER BLVD
BALTIMORE, MD 21234
Clinical Nurse Specialist (Psychiatric/Mental Health)
8800 WALTHER BLVD
BALTIMORE, MD 21234
Dermatology
8800 WALTHER BLVD
PARKVILLE, MD 21234
Nurse Practitioner (Gerontology)
8800 WALTHER BLVD
BALTIMORE, MD 21234
Occupational Therapist
8800 WALTHER BLVD
PARKVILLE, MD 21234
Internal Medicine
8800 WALTHER BLVD
BALTIMORE, MD 21234

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 Etosha Dixon's NPI number?

The NPI number for Etosha Dixon is 1063473551. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Etosha Dixon located?

Etosha Dixon practices at 8800 Walther Blvd, Baltimore, MD 21234. The listed phone number is (410) 882-3240.

What is Etosha Dixon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Etosha Dixon enrolled in Medicare?

Yes. Etosha Dixon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Etosha Dixon was last updated on April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.