DR. MICHAEL M DICKERSON M.D.
NPI 1073512059
Emergency Medicine in Parkersburg, WV

Q: What is Michael Dickerson's NPI number?

The NPI number for Michael Dickerson is 1073512059. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Michael Dickerson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Dickerson was last updated on July 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 20, 2005PECOS Enrolled

800 GARFIELD AVE, HEALING CENTER AT CCMH, PARKERSBURG, WV 26101(304) 424-2228(304) 420-7128 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Michael M Dickerson M.d. NPPES

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

DR. MICHAEL M DICKERSON M.D. (NPI 1073512059) is an individual emergency medicine provider in Parkersburg, West Virginia, licensed in North Carolina (200001115) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073512059

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MICHAEL M DICKERSONCredential: M.D.

Location Address800 GARFIELD AVE, HEALING CENTER AT CCMHParkersburg, WV 26101-5340

Mailing Address1602 Greenmont Hills DrVienna, WV 26105-3292 · (304) 424-2228 · Fax (304) 420-7128

Phone(304) 424-2228

Fax(304) 420-7128

Sole ProprietorYes

Enumeration DateJuly 20, 2005

Last NPPES UpdateJuly 20, 2010

✔ NPI 1073512059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 200001115

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

800 GARFIELD AVE, Parkersburg, WV 26101

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Other Identifiers 6

Medicare UPING41209NC

Other127TYNC · Bcbs Of Nc Group #015ck

Medicare ID-Type Unspecified2281277CNC · Group # 2336501

Medicaid89127TYNC

Medicare PINDI0845395

OtherD0709NC · Medcost #

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. Michael M Dickerson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.