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DR. SUSAN M DIMICK M.D.
NPI 1083663611
Family Medicine in Edmond, OK

Active since May 10, 2006Opted out of Medicare · through Oct 1, 2026
3317 E MEMORIAL RD, SUITE 103, EDMOND, OK 73013(405) 475-0100 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan M Dimick M.d. NPPES

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

DR. SUSAN M DIMICK M.D. (NPI 1083663611) is an individual family medicine provider in Edmond, Oklahoma, licensed in Oklahoma (15279) and active in the NPI registry since May 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083663611
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN M DIMICKCredential: M.D.
Location Address3317 E MEMORIAL RD, SUITE 103Edmond, OK 73013-7105
Mailing Address3317 E Memorial Rd Ste 103Edmond, OK 73013-7095 · (405) 475-0100
Phone(405) 475-0100
Sole ProprietorYes
Enumeration DateMay 10, 2006
Last NPPES UpdateJanuary 5, 2011
✔ NPI 1083663611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 15279
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3317 E MEMORIAL RD, Edmond, OK 73013
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Other Identifiers 1

Medicare UPINC94856OK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Susan M Dimick M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2010 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2010
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers35 claims35 services$29.83 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers16 claims85 services$13.03 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers15 claims86 services$12.07 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers31 claims31 services$40.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers24 claims24 services$14.41 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers35 claims201 services$1.60 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 3

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

AMY CATHERINE REID PHYSICAL THERAPIST
Physical Therapist
3317 E MEMORIAL RD
EDMOND, OK 73013
Oklahoma County (405) 475-7080
MS. HOLLY LEA JONES PHYSICAL THERAPIST
Physical Therapist
3317 E MEMORIAL RD, SUITE 104
EDMOND, OK 73013
Oklahoma County (405) 475-7080
HJ ENTERPRISES
Physical Therapist
3317 E MEMORIAL RD, SUITE 104
EDMOND, OK 73013
Oklahoma County (405) 475-7080

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 Susan Dimick's NPI number?

The NPI number for Susan Dimick is 1083663611. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Susan Dimick located?

Susan Dimick practices at 3317 E Memorial Rd Suite 103, Edmond, OK 73013. The listed phone number is (405) 475-0100.

What is Susan Dimick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Dimick enrolled in Medicare?

No. Susan Dimick has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Dimick was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.