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TIMOTHY DALE DICKINSON MD
NPI 1255314423
Anesthesiology in Edgewood, KY

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 341-7246(859) 341-7867 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy Dale Dickinson Md NPPES

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

TIMOTHY DALE DICKINSON MD (NPI 1255314423) is an individual anesthesiology provider in Edgewood, Kentucky, licensed in Kentucky (38335) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1255314423
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTIMOTHY DALE DICKINSONCredential: MD
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing Address20 Medical Village Dr, Suite 258Edgewood, KY 41017-5401 · (859) 341-7246 · Fax (859) 341-7867
Phone(859) 341-7246
Fax(859) 341-7867
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 22, 2005
Last NPPES UpdateOctober 31, 2013
✔ NPI 1255314423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in KY · 38335
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
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Other Identifiers 9

Other611077369Tax Id
Medicare UPING30446
Medicaid0310694OH
Medicaid64074628KY
Medicaid200282600IN
Medicare PIN0094499
Other10902391Caqh
Other7580059Aetna
Other000000311761Anthem Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Timothy Dale 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 ID8426942012
PECOS Enrollment IDI20040213000012
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 Reassignment

Medicare enrollment records show Timothy Dickinson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Group Practice, Inc
20 mi
Anesthesiology
10500 MONTGOMERY RD
Montgomery, OH 45242
  • Reassigned Medicare billing, Kentucky enrollment
  • 211 clinicians in this Medicare group
NPI 1417951948 (513) 817-1150

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 11

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
35 services35 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
27 services27 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
16 services16 patients
Ultrasound of heart with probe in esophagus, with report 93312
This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.
16 services16 patients
3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects 93319
3D ultrasound imaging of the heart is a non-invasive procedure that uses sound waves to create a detailed three-dimensional image of your heart. This helps in evaluating the heart's structure, particularly for diagnosing congenital heart defects. It is safe, painless and provides valuable information about your heart health.
16 services16 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

CARA LINDSAY HANSEN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074
DR. STEPHEN G MOELLER MD
Radiology (Diagnostic Radiology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2160

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 Timothy Dickinson's NPI number?

The NPI number for Timothy Dickinson is 1255314423. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Timothy Dickinson located?

Timothy Dickinson practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 341-7246.

What is Timothy Dickinson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Timothy Dickinson enrolled in Medicare?

Yes. Timothy 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 organization bills Medicare for Timothy Dickinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Dickinson reassigns Medicare benefits to Anesthesia Group Practice, Inc (Montgomery, OH). The 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 Timothy Dickinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Dickinson accept?

Health plans from CareSource list Timothy 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 Timothy Dickinson affiliated with any hospitals?

According to CMS data, Timothy Dickinson is affiliated with St Elizabeth Ft Thomas and St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Timothy Dickinson was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.