PATRICIA A DICKERSON MD
NPI 1336132950
Dermatology in Centerville, OH

Active since August 30, 2005
99.15/100
CMS Quality Rating
1299 E ALEX BELL RD, CENTERVILLE, OH 45459(937) 436-1117(937) 436-9576 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Patricia A Dickerson Md NPPES

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

PATRICIA A DICKERSON MD (NPI 1336132950) is an individual dermatology provider in Centerville, Ohio, licensed in Ohio (350554000) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1336132950
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NamePATRICIA A DICKERSONCredential: MD
Location Address1299 E ALEX BELL RDCenterville, OH 45459-2658
Mailing Address1299 E Alex Bell RdCenterville, OH 45459-2658 · (937) 436-1117 · Fax (937) 436-9576
Fax(937) 436-9576
Sole ProprietorYes
Enumeration DateAugust 30, 2005
Last NPPES UpdateNovember 5, 2012
✔ NPI 1336132950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OH · 350554000
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1299 E ALEX BELL RD, Centerville, OH 45459

Other Identifiers 3

Medicare PINDI0679024
Medicare UPINE95958
Medicaid0866648OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Procedural Dermatology
770 BALGREEN DR, STE 201
Mansfield, OH 44906
  • Reassigned Medicare billing, Ohio enrollment
  • 14 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.

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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Dermatology
1299 E ALEX BELL RD
CENTERVILLE, OH 45459
Nurse Practitioner
1299 E ALEX BELL RD
CENTERVILLE, OH 45459
Physician Assistant
1299 E ALEX BELL RD
CENTERVILLE, OH 45459
Dermatology
1299 E ALEX BELL RD
CENTERVILLE, OH 45459

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 Patricia Dickerson's NPI number?

The NPI number for Patricia Dickerson is 1336132950. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Patricia Dickerson located?

Patricia Dickerson practices at 1299 E Alex Bell Rd, Centerville, OH 45459. The listed phone number is (937) 436-1117.

What is Patricia Dickerson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Patricia Dickerson enrolled in Medicare?

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

Which organization bills Medicare for Patricia Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Dickerson reassigns Medicare benefits to Advanced Dermatology Of North Central Ohio Inc (Mansfield, 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 Patricia Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Dickerson accept?

Health plans from CareSource list Patricia 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 Patricia Dickerson was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.