HOLLY A DICKSON MD
NPI 1235145715
Obstetrics & Gynecology in Enumclaw, WA

Q: What is Holly Dickson's NPI number?

The NPI number for Holly Dickson is 1235145715. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Holly Dickson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Dickson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 01, 2006PECOS Enrolled

853 WATSON ST N STE 200, ENUMCLAW, WA 98022(360) 367-2970(360) 998-3241 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Feb 24, 2021, Apr 12, 2019 and 1 more (4 updates tracked since 2017).

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About Holly A Dickson Md NPPES

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

HOLLY A DICKSON MD (NPI 1235145715) is an individual obstetrics & gynecology provider in Enumclaw, Washington, licensed in Washington (MD00040581) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1997).

NPPES Registry Identity

NPI1235145715

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameHOLLY A DICKSONCredential: MD

Location Address853 WATSON ST N STE 200Enumclaw, WA 98022-3948

Mailing Address853 Watson St N Ste 200Enumclaw, WA 98022-3948 · (360) 367-2970 · Fax (360) 998-3241

Phone(360) 367-2970

Fax(360) 998-3241

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1997

Enumeration DateAugust 1, 2006

Last NPPES UpdateAugust 8, 20234 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1235145715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WA · MD00040581

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

853 WATSON ST N STE 200, Enumclaw, WA 98022

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Other Identifiers 4

Medicaid8286965WA

Other8935272WA · Crime Victims

Other154155WA · L & I

Other160056450WA · Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly A Dickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537298302

PECOS Enrollment IDI20100603000990, I20201001000343

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98022 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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 6

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

PLATEAU FAMILY MEDICINE, PS

Family Medicine