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DON R DICKERSON M.D.
NPI 1194825935
Radiology - Radiation Oncology in Lima, OH

Active since September 22, 2006PECOS Enrolled
803 W MARKET ST STE 100, LIMA, OH 45805(419) 996-5063(419) 996-5502 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2024, Jul 4, 2021 (2 updates tracked since 2021).

About Don R Dickerson M.d. NPPES

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

DON R DICKERSON M.D. (NPI 1194825935) is an individual radiation oncology provider in Lima, Ohio, licensed in Wyoming (6812A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cheyenne.

NPPES Registry Identity

NPI1194825935
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDON R DICKERSONCredential: M.D.
Location Address803 W MARKET ST STE 100Lima, OH 45805-2796
Mailing Address1920 Evans AveCheyenne, WY 82001-3716 · (307) 637-5339 · Fax (307) 637-4525
Phone(419) 996-5063
Fax(419) 996-5502
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1194825935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in WY · 6812A
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
803 W MARKET ST STE 100, Lima, OH 45805
Open in Google Maps ↗

Secondary Practice Location 1

Location 1214 E 23rd StCheyenne, WY 82001-3748 · Phone (307) 633-7823 · Fax (307) 633-7818

Other Identifiers 2

Other312715WY · Blue Cross Blue Shield
Medicaid119369400WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Oscar Health Insurance, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Don R Dickerson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Don Dickerson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Park Hospital District
1,248 mi
Emergency Medicine
PO BOX 143
Basin, WY 82410
  • Reassigned Medicare billing, Wyoming enrollment
  • 181 clinicians in this Medicare group
NPI 1942921937 (307) 568-3700
Scl Health Medical Group - Billings, LLC
1,272 mi
General Practice
32 WICKS LN
Billings, MT 59105
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1447866538 (406) 237-8400
Memorial Hospital Of Sweetwater County
1,306 mi
Internal Medicine
1180 COLLEGE DRIVE
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1558361949 (Wyoming)
  • 176 clinicians in this Medicare group
NPI 1437312436 (307) 352-8125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45805 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AHMED M AKL MD
Radiology (Radiation Oncology)
803 W MARKET ST STE 100
LIMA, OH 45805
Allen County (419) 996-5063
DR. DEANNA S DAVIDSON M.D.
Radiology (Radiation Oncology)
803 W MARKET ST STE 100
LIMA, OH 45805
Allen County (419) 996-5063
ALEXANDRIA L TWEHUES APRN-FNP
Nurse Practitioner (Family)
803 W MARKET ST STE 100
LIMA, OH 45805
Allen County (419) 996-5063

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 Don Dickerson's NPI number?

The NPI number for Don Dickerson is 1194825935. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Don Dickerson located?

Don Dickerson practices at 803 W Market St Ste 100, Lima, OH 45805. The listed phone number is (419) 996-5063.

What is Don Dickerson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Don Dickerson enrolled in Medicare?

Yes. Don Dickerson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Don Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Don Dickerson reassigns Medicare benefits to 3 organizations: West Park Hospital District (Basin, WY), Scl Health Medical Group - Billings, LLC (Billings, MT) and Memorial Hospital Of Sweetwater County (Rock Springs, WY). 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 Don Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Don Dickerson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Oscar Health Insurance and University of Utah Health Plans list Don Dickerson 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 Don Dickerson was last updated on September 30, 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.