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THOMAS A DICKINSON MD
NPI 1376591354
Internal Medicine - Gastroenterology in Provo, UT

Active since May 04, 2006PECOS Enrolled
1055 N 500 W, SUITE 100 BLDG B, PROVO, UT 84604(801) 374-1268(801) 812-5454 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2020, Oct 24, 2018 (2 updates tracked since 2018).

About Thomas A Dickinson Md NPPES

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

THOMAS A DICKINSON MD (NPI 1376591354) is an individual gastroenterology provider in Provo, Utah, licensed in Utah (1660021205) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376591354
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTHOMAS A DICKINSONCredential: MD
Location Address1055 N 500 W, SUITE 100 BLDG BProvo, UT 84604-3305
Mailing Address1055 N 500 W, Credentialing DepartmentProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 374-1268
Fax(801) 812-5454
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1376591354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in UT · 1660021205
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1055 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Other Identifiers 6

Other100002620UT · Palmetto Gba
Other29-00040UT · United Healthcare
Other107006219101UT · Ihc Healthplans
Other0049UT · Dmba
OtherQM0000009178UT · Altius
Other5285UT · Pehp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,057 services$0.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ASHLEY SAUNDERS
Family Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 812-5033
CRYSTAL C HUFFAKER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Utah County (801) 357-7327
SCOTT DELAFIELD EVANS MD
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Utah County (801) 373-7350
EVAN SCOTT NIELSEN MD
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Utah County (801) 373-7350
ROSANNE JOHNSON OLIVER FNP
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Utah County (801) 429-8095
LESLEE RONALD ADAMS NP
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Utah County (801) 357-7327
WYATT JAMES BOLES DO
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
DR. REX F RIPPLINGER MD
Internal Medicine
1055 N 500 W
PROVO, UT 84604
Utah County (801) 429-8000

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 Thomas Dickinson's NPI number?

The NPI number for Thomas Dickinson is 1376591354. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Thomas Dickinson located?

Thomas Dickinson practices at 1055 N 500 W Suite 100 Bldg B, Provo, UT 84604. The listed phone number is (801) 374-1268.

What is Thomas Dickinson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Dickinson enrolled in Medicare?

Yes. Thomas Dickinson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Dickinson was last updated on November 27, 2023. 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.