MARK WADE DICKINSON MD
NPI 1154320059
Pediatrics in Boston, MA
About Mark Wade Dickinson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK WADE DICKINSON MD (NPI 1154320059) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (230380) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of University Of California, San Diego School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 13
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
Mark Wade Dickinson 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
3Medicare enrollment records show Mark Dickinson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Salem, NH 03079
- Reassigned Medicare billing, Massachusetts enrollment
- 181 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 6
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Massachusetts General Hospital
Acute Care Hospitals · Boston, MANewton-Wellesley Hospital
Acute Care Hospitals · Newton, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAFaulkner Hospital-Brigham And Women's
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02215
BOSTON, MA 02215
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 Mark Dickinson's NPI number?
The NPI number for Mark Dickinson is 1154320059. It was assigned to this individual provider in the NPPES registry on July 21, 2005.
Where is Mark Dickinson located?
Mark Dickinson practices at 388 Commonwealth Ave Mgh Back Bay, Boston, MA 02215. The listed phone number is (617) 267-7171.
What is Mark Dickinson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mark Dickinson enrolled in Medicare?
Yes. Mark 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.
Which organizations bill Medicare for Mark Dickinson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Dickinson reassigns Medicare benefits to 3 organizations: The General Hospital Corporation (Boston, MA), Massachusetts General Physicians Organization Inc (Boston, MA) and Mass General Brigham Medical Group, Inc. (Salem, NH). 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 Mark Dickinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Dickinson accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Mark 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.
Is Mark Dickinson affiliated with any hospitals?
According to CMS data, Mark Dickinson is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.
When was this NPI record last updated?
The NPPES record for Mark Dickinson was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mark Wade Dickinson, MD · NPI 1154320059
Pediatrics physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since July 21, 2005.
## Identity
- **NPI:** 1154320059 (Entity type: Individual)
- **Enumerated:** July 21, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 230380 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 388 COMMONWEALTH AVE, MGH BACK BAY, Boston, MA 02215-2800
- **Phone:** (617) 267-7171 · **Fax:** (617) 262-2608
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): The General Hospital Corporation (NPI 1023049236, Boston, MA); Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); Mass General Brigham Medical Group, Inc. (NPI 1083360200, Salem, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** August 12, 2009
- **Other identifiers:** Other 121680 (MA); Other 3975642 (MA); Other 5035676 (MA); and 10 more
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Source: [NPI Profile](https://npiprofile.com/npi/1154320059) · Data from the CMS NPPES public registry.