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MARK WADE DICKINSON MD
NPI 1154320059
Pediatrics in Boston, MA

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
388 COMMONWEALTH AVE, MGH BACK BAY, BOSTON, MA 02215(617) 267-7171(617) 262-2608 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1154320059
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMARK WADE DICKINSONCredential: MD
Location Address388 COMMONWEALTH AVE, MGH BACK BAYBoston, MA 02215-2800
Mailing Address388 Commonwealth Ave, Mgh Back BayBoston, MA 02215-2800 · (617) 267-7171 · Fax (617) 262-2608
Phone(617) 267-7171
Fax(617) 262-2608
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1989
Enumeration DateJuly 21, 2005
Last NPPES UpdateAugust 12, 2009
✔ NPI 1154320059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 230380
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 230380 (MA)
Also ListedHospitalistTaxonomy 208M00000X · License 230380 (MA)
388 COMMONWEALTH AVE, Boston, MA 02215
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Other Identifiers 13

Other121680MA · Fallon
Other3975642MA · Cigna
Other5035676MA · Aetna
OtherOX2507MA · Medicare Ptan Group 21241
Medicaid2128071MA
Other96009801MA · Network Health
Other495561MA · Tufts
OtherJ41145MA · Bcbs
Medicare PINA41092
OtherOX2506MA · Medicare Ptan Group 21240
OtherAA77715MA · Hphc
Medicare UPINF50797
OtherAA77715MA · Masshealth

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

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.

PECOS PAC ID3678542271
PECOS Enrollment IDI20070406000229
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
122 services58 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.
94 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
23 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

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, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician 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.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.21 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,787 services$0.25 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$56.79 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 14

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

SUSAN HATA MD
Internal Medicine
388 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 267-7171
DR. ROBIN R COX D.D.S
Dentist
388 COMMONWEALTH AVE, UNIT B3
BOSTON, MA 02215
Suffolk County (617) 266-6064
SARAH ELIZABETH SMITH DNP, FNP-BC
Nurse Practitioner
388 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 585-7471
KUNALI GURDITTA MD
Internal Medicine
388 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 267-7171
AMIR MOHSEN MAHOOZI DMD, PC
Health Maintenance Organization
388 COMMONWEALTH AVE, UNIT B-1
BOSTON, MA 02215
Suffolk County (617) 859-8000
DR. MARK ALAN MIZNER DMD
Dentist (General Practice)
388 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (616) 266-8770
NICOLAS M ORESKOVIC M.D.
Pediatrics
388 COMMONWEALTH AVE
BOSTON, MA 02215
Suffolk County (617) 267-7171
DR. JOSEPH JAMES MILAVEC D.M.D.
Dentist (Prosthodontics)
388 COMMONWEALTH AVE, OFFICE SUITE #L3
BOSTON, MA 02215
Suffolk County (617) 266-8404

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.

What insurance does Mark Dickinson accept?

Health plans from Anthem Blue Cross and Blue Shield 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 16 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.