DR. KATHRYN ELYSE DICKERSON MD
NPI 1386943835
Pediatrics - Pediatric Hematology-Oncology in Dallas, TX

Active since March 23, 2011PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 456-2382(214) 456-6133 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017, Aug 2, 2017 (3 updates tracked since 2017).

About Dr. Kathryn Elyse Dickerson Md NPPES

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

DR. KATHRYN ELYSE DICKERSON MD (NPI 1386943835) is an individual pediatric hematology-oncology provider in Dallas, Texas, licensed in Texas (R2082) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2011).

NPPES Registry Identity

NPI1386943835
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. KATHRYN ELYSE DICKERSONCredential: MD
Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7201
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 456-2382 · Fax (214) 456-6133
Fax(214) 456-6133
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2011
Enumeration DateMarch 23, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1386943835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in TX · R2082
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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

Dr. Kathryn Elyse Dickerson 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 ID5698052975
PECOS Enrollment IDI20170516000868
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.

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Emergency Medicine
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Audiologist
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Nurse Practitioner (Family)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Radiology (Diagnostic Radiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Pediatrics (Pediatric Cardiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390

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 Kathryn Dickerson's NPI number?

The NPI number for Kathryn Dickerson is 1386943835. It was assigned to this individual provider in the NPPES registry on March 23, 2011.

Where is Kathryn Dickerson located?

Kathryn Dickerson practices at 5323 Harry Hines Boulevard, Dallas, TX 75390. The listed phone number is (214) 456-2382.

What is Kathryn Dickerson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Kathryn Dickerson enrolled in Medicare?

Yes. Kathryn Dickerson 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 Kathryn Dickerson accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Kathryn 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 Kathryn Dickerson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.