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DR. MISTY IRENE DICKERSON D.O.
NPI 1427296318
Obstetrics & Gynecology in Centerville, OH

Active since January 30, 2009PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
7740 WASHINGTON VILLAGE DRIVE, SUITE 100, CENTERVILLE, OH 45458(937) 531-7900(937) 531-7901 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2020, Feb 24, 2017, Jan 26, 2017 (3 updates tracked since 2017).

About Dr. Misty Irene Dickerson D.o. NPPES

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

DR. MISTY IRENE DICKERSON D.O. (NPI 1427296318) is an individual obstetrics & gynecology provider in Centerville, Ohio, licensed in Ohio (34010654) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1427296318
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MISTY IRENE DICKERSONCredential: D.O.
Location Address7740 WASHINGTON VILLAGE DRIVE, SUITE 100Centerville, OH 45458-3994
Mailing Address7740 Washington Village Dr, Suite 100Centerville, OH 45459-4056 · (937) 531-7900 · Fax (937) 531-7901
Phone(937) 531-7900
Fax(937) 531-7901
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2008
Enumeration DateJanuary 30, 2009
Last NPPES UpdateDecember 4, 20203 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1427296318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 34010654
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License 34.010654 (OH)
7740 WASHINGTON VILLAGE DRIVE, Centerville, OH 45458
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Other Identifiers 1

Medicaid0076897OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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. Misty Irene Dickerson D.o. 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 ID7416107685
PECOS Enrollment IDI20121024000360
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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
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.
16 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45458 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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 Misty Dickerson's NPI number?

The NPI number for Misty Dickerson is 1427296318. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Misty Dickerson located?

Misty Dickerson practices at 7740 Washington Village Drive Suite 100, Centerville, OH 45458. The listed phone number is (937) 531-7900.

What is Misty Dickerson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Misty Dickerson enrolled in Medicare?

Yes. Misty 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 Misty Dickerson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Misty 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.

Is Misty Dickerson affiliated with any hospitals?

According to CMS data, Misty Dickerson is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg, Soin Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Misty Dickerson was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.