DEMETRIUS LEUTREL DICKS M.D.
NPI 1336375500
Radiology - Diagnostic Radiology in Marietta, GA

Active since June 02, 2009PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
790 CHURCH ST NE STE 400, MARIETTA, GA 30060(770) 405-2976 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demetrius Leutrel Dicks M.d. NPPES

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

DEMETRIUS LEUTREL DICKS M.D. (NPI 1336375500) is an individual diagnostic radiology provider in Marietta, Georgia, licensed in Georgia (078017) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1336375500
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDEMETRIUS LEUTREL DICKSCredential: M.D.
Location Address790 CHURCH ST NE STE 400Marietta, GA 30060-8957
Mailing AddressPo Box 3157Indianapolis, IN 46206-3157 · (770) 405-2976
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2003
Enumeration DateJune 2, 2009
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1336375500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in GA · 078017 Licensed in WA · 60079309
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
790 CHURCH ST NE STE 400, Marietta, GA 30060

Secondary Practice Location 1

Location 11959 NE Pacific St, Department of Radiology, NW011LSeattle, WA 98195-0001 · Phone (206) 540-0308

Accepted 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

Demetrius Leutrel Dicks M.d. 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 ID4183851439
PECOS Enrollment IDI20170628000437
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 38

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
398 services372 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
177 services176 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
173 services173 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
150 services148 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
117 services113 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
78 services74 patients

Hospital Affiliations CMS Care Compare 5

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
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.

Radiology (Vascular & Interventional Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Vascular & Interventional Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060

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 Demetrius Dicks's NPI number?

The NPI number for Demetrius Dicks is 1336375500. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Demetrius Dicks located?

Demetrius Dicks practices at 790 Church St NE Ste 400, Marietta, GA 30060. The listed phone number is (770) 405-2976.

What is Demetrius Dicks's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Demetrius Dicks enrolled in Medicare?

Yes. Demetrius Dicks 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 Demetrius Dicks accept?

Health plans from Alliant Health Plans, Inc. list Demetrius Dicks 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 Demetrius Dicks affiliated with any hospitals?

According to CMS data, Demetrius Dicks is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center, Wellstar Douglas Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Demetrius Dicks was last updated on February 21, 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.