DR. DIANE DICKINSON M.D.
NPI 1104860519
Family Medicine in Portland, ME

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
88.18/100
CMS Quality Rating
100 FORE ST, PORTLAND, ME 04101(207) 808-0080 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Diane Dickinson M.d. NPPES

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

DR. DIANE DICKINSON M.D. (NPI 1104860519) is an individual family medicine provider in Portland, Maine, licensed in Maine (MD25688) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eureka, and is a graduate of University Of Massachusetts Medical School (1989).

NPPES Registry Identity

NPI1104860519
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DIANE DICKINSONCredential: M.D.
Location Address100 FORE STPortland, ME 04101-4879
Mailing Address100 Fore StPortland, ME 04101-4879 · (207) 808-0080
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1989
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
NPI 1104860519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ME · MD25688 Licensed in CA · G69727
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.
100 FORE ST, Portland, ME 04101

Secondary Practice Location 1

Location 14058 D StEureka, CA 95503-6025 · Phone (707) 599-1561 · Fax (707) 825-1116

Other Identifiers 1

Medicaid00G697270CA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Diane Dickinson M.d. 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.

PECOS PAC ID7911934021
PECOS Enrollment IDI20211104002584, I20220301000327, I20220302000787, I20230214001644
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 14

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.

Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
551 services543 patients
Single contrast x-ray of upper digestive tract 74240
A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.
475 services468 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
396 services396 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
220 services220 patients
Evaluation of swallowing function image 92611
An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.
166 services164 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

88.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.37
Promoting Interoperability100
Improvement Activities40
Cost42.92

Reported Quality Measures

Breast Cancer Screening
11%109 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%816 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
70%346 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
99%882 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
91%814 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
96%837 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%816 patients5/55-star benchmark: 100%
Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
99%567 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%328 patients5/55-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.

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
100 FORE ST
PORTLAND, ME 04101
Registered Nurse (Case Management)
100 FORE ST
PORTLAND, ME 04101
Occupational Therapist
100 FORE ST
PORTLAND, ME 04101
Urology
100 FORE ST
PORTLAND, ME 04101
Physical Therapist
100 FORE ST, 2ND FLOOR
PORTLAND, ME 04101
Physical Therapist
100 FORE ST
PORTLAND, ME 04101
Physical Therapist
100 FORE ST
PORTLAND, ME 04101
Physical Therapist
100 FORE ST
PORTLAND, ME 04101

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 Diane Dickinson's NPI number?

The NPI number for Diane Dickinson is 1104860519. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Diane Dickinson located?

Diane Dickinson practices at 100 Fore St, Portland, ME 04101. The listed phone number is (207) 808-0080.

What is Diane Dickinson's specialty?

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

Is Diane Dickinson enrolled in Medicare?

Yes. Diane Dickinson 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.

What insurance does Diane Dickinson accept?

Health plans from WellSense Health Plan list Diane Dickinson 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.

When was this NPI record last updated?

The NPPES record for Diane Dickinson was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.