DILLON MEDLOCK MD
NPI 1104446004
Internal Medicine in Edina, MN
About Dillon Medlock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DILLON MEDLOCK MD (NPI 1104446004) is an individual internal medicine provider in Edina, Minnesota, licensed in Minnesota (74288) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dillon Medlock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Dillon Medlock reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EDINA, MN 55435
EDINA, MN 55435
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 Dillon Medlock's NPI number?
The NPI number for Dillon Medlock is 1104446004. It was assigned to this individual provider in the NPPES registry on April 21, 2020.
Where is Dillon Medlock located?
Dillon Medlock practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.
What is Dillon Medlock's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dillon Medlock enrolled in Medicare?
Yes. Dillon Medlock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dillon Medlock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dillon Medlock reassigns Medicare benefits to 5 organizations: Fairview Health Services (Edina, MN), Fairview Bethesda Hospital (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN) and Healtheast Woodwinds Hospital (Woodbury, MN). 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 Dillon Medlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dillon Medlock accept?
Health plans from Sanford Health Plan list Dillon Medlock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dillon Medlock affiliated with any hospitals?
According to CMS data, Dillon Medlock is affiliated with M Health Fairview Southdale Hospital.
When was this NPI record last updated?
The NPPES record for Dillon Medlock was last updated on July 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dillon Medlock, MD · NPI 1104446004
Internal Medicine physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since April 21, 2020.
## Identity
- **NPI:** 1104446004 (Entity type: Individual)
- **Enumerated:** April 21, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 74288 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6401 FRANCE AVE S, Edina, MN 55435-2104
- **Phone:** (952) 924-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fairview Health Services (NPI 1770663031, Edina, MN); Fairview Bethesda Hospital (NPI 1275412561, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); Healtheast Woodwinds Hospital (NPI 1356309322, Woodbury, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas Tech University Health Science Center School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104446004) · Data from the CMS NPPES public registry.