KIRSTEN DICKINSON MD
NPI 1366893752
Dermatology in Clive, IA

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
12327 STRATFORD DR, CLIVE, IA 50325(515) 224-7088(515) 224-9228 Get Directions Write a Review

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

Record update history: Jun 21, 2024, May 4, 2023, Oct 5, 2022 and 6 more (9 updates tracked since 2016).

About Kirsten Dickinson Md NPPES

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

KIRSTEN DICKINSON MD (NPI 1366893752) is an individual dermatology provider in Clive, Iowa, licensed in Michigan (4301504690) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Mercyone Newton Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1366893752
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKIRSTEN DICKINSONCredential: MD
Location Address12327 STRATFORD DRClive, IA 50325-8148
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(515) 224-9228
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateJune 21, 20249 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1366893752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in MI · 4301504690 Licensed in OH · 35.139357 Licensed in IA · R-10964
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 4301504690 (MI)
Also ListedInternal MedicineTaxonomy 207R00000X · License R10695 (IA)
12327 STRATFORD DR, Clive, IA 50325

Other Names 1

Former Name (1)Kirsten Goetz Md

Secondary Practice Locations 5

Location 11602 Military StPort Huron, MI 48060-5933 · Phone (810) 982-9527 · Fax (810) 982-1663
Location 242452 Hayes Rd Ste 3Clinton Township, MI 48038-6771 · Phone (586) 263-3130 · Fax (586) 263-5183
Location 3500 Main St Ste 113Ames, IA 50010-6083 · Phone (515) 232-3006 · Fax (515) 232-3009
Location 42785 N Ankeny Blvd Ste 24Ankeny, IA 50023-4705 · Phone (515) 964-5503 · Fax (515) 232-3009
Location 5204 N 4th Ave ENewton, IA 50208-3135 · Phone (515) 224-7088 · Fax (515) 224-9228

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

Kirsten 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 ID1153614334
PECOS Enrollment IDI20190730000250, I20210701002242
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 25

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
385 services328 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
180 services136 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
97 services91 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
95 services90 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
79 services65 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
77 services28 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Newton Medical Center

Acute Care Hospitals · Newton, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160032
Location204 N 4th Ave ENewton, IA 50208 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Reported Quality Measures

Advance Care Plan
38%981 patients2/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%146 patients
Melanoma: Coordination of Care
30%44 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 573 patients
Patients screened: 93% · 573 patients
71%28 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
85%689 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
94%48 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Physician Assistant
12327 STRATFORD DR
CLIVE, IA 50325
Physician Assistant
12327 STRATFORD DR
CLIVE, IA 50325
Physician Assistant
12327 STRATFORD DR
CLIVE, IA 50325
Dermatology
12327 STRATFORD DR
CLIVE, IA 50325
Physician Assistant
12327 STRATFORD DR
CLIVE, IA 50325
Dermatology (Dermatopathology)
12327 STRATFORD DR
CLIVE, IA 50325
Physician Assistant
12327 STRATFORD DR
CLIVE, IA 50325
Physician Assistant
12327 STRATFORD DR
CLIVE, IA 50325

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 Kirsten Dickinson's NPI number?

The NPI number for Kirsten Dickinson is 1366893752. It was assigned to this individual provider in the NPPES registry on June 27, 2016. The provider is also known as Kirsten Goetz MD.

Where is Kirsten Dickinson located?

Kirsten Dickinson practices at 12327 Stratford Dr, Clive, IA 50325. The listed phone number is (515) 224-7088.

What is Kirsten Dickinson's specialty?

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

Is Kirsten Dickinson enrolled in Medicare?

Yes. Kirsten 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.

What insurance does Kirsten Dickinson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Medica and Oscar Insurance Company and 2 other insurers list Kirsten 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 Kirsten Dickinson affiliated with any hospitals?

According to CMS data, Kirsten Dickinson is affiliated with Mercyone Newton Medical Center.

When was this NPI record last updated?

The NPPES record for Kirsten Dickinson was last updated on June 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.