DR. ETOSHA D DIXON M.D.
NPI 1063473551
Family Medicine - Geriatric Medicine in Baltimore, MD
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Etosha Dixon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21212
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 309 clinicians in this Medicare group
Randallstown, MD 21133
- Reassigned Medicare billing, Maryland enrollment
- 10 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 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.
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.
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.
Reported Quality Measures
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.
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.
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.
Which organizations bill Medicare for Etosha Dixon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Etosha Dixon reassigns Medicare benefits to 2 organizations: Medstar Urgent Care LLC (Baltimore, MD) and On-Time Medical Group Inc (Randallstown, MD). 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 Etosha Dixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Etosha Dixon was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.