KELLEY MARIE DICKSON DO
NPI 1366071425
Family Medicine in Springfield, PA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
1260 E. WOODLAND AVE, STE 200, SPRINGFIELD, PA 19064(610) 690-4490(610) 328-9391 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2025, Apr 2, 2020 (2 updates tracked since 2020).

About Kelley Marie Dickson Do NPPES

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

KELLEY MARIE DICKSON DO (NPI 1366071425) is an individual family medicine provider in Springfield, Pennsylvania, licensed in Pennsylvania (OS022928) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366071425
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLEY MARIE DICKSONCredential: DO
Location Address1260 E. WOODLAND AVE, STE 200Springfield, PA 19064-3956
Mailing Address1260 E. Woodland Ave, Ste 200Springfield, PA 19064-3956 · (610) 690-4490 · Fax (610) 328-9391
Fax(610) 328-9391
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1366071425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS022928
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1260 E. WOODLAND AVE, Springfield, PA 19064

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

Kelley Marie Dickson Do 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 ID3971958356
PECOS Enrollment IDI20231005001557
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19064 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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 4

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

Psychologist (Clinical)
1260 E. WOODLAND AVE, STE 200
SPRINGFIELD, PA 19064
Family Medicine
1260 E. WOODLAND AVE, STE 200
SPRINGFIELD, PA 19064
Family Medicine
1260 E. WOODLAND AVE, STE 200
SPRINGFIELD, PA 19064
Family Medicine
1260 E. WOODLAND AVE, STE 200
SPRINGFIELD, PA 19064

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 Kelley Dickson's NPI number?

The NPI number for Kelley Dickson is 1366071425. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Kelley Dickson located?

Kelley Dickson practices at 1260 E. Woodland Ave Ste 200, Springfield, PA 19064. The listed phone number is (610) 690-4490.

What is Kelley Dickson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelley Dickson enrolled in Medicare?

Yes. Kelley Dickson 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.

Is Kelley Dickson affiliated with any hospitals?

According to CMS data, Kelley Dickson is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Kelley Dickson was last updated on December 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.