MARK S DICKINSON OD
NPI 1457430464
Optometrist in Alpharetta, GA
About Mark S Dickinson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK S DICKINSON OD (NPI 1457430464) is an individual optometrist in Alpharetta, Georgia, licensed in Georgia (001046) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark S Dickinson Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Dickinson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alpharetta, GA 30004
- Reassigned Medicare billing, Georgia enrollment
Roswell, GA 30075
- Reassigned Medicare billing, Georgia enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Dickinson's NPI number?
The NPI number for Mark Dickinson is 1457430464. It was assigned to this individual provider in the NPPES registry on November 2, 2006.
Where is Mark Dickinson located?
Mark Dickinson practices at 13190 Owens Way, Alpharetta, GA 30004. The listed phone number is (404) 218-4912.
What is Mark Dickinson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mark Dickinson enrolled in Medicare?
Yes. Mark 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.
Which organizations bill Medicare for Mark Dickinson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Dickinson reassigns Medicare benefits to 2 organizations: Mark S Dickinson Od PC (Alpharetta, GA) and Marietta Eye Clinic, PA (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Dickinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Dickinson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 6 other insurers list Mark 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.
When was this NPI record last updated?
The NPPES record for Mark Dickinson was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mark S Dickinson, OD · NPI 1457430464
Optometrist provider in Alpharetta, Georgia. Individual provider, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1457430464 (Entity type: Individual)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 001046 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13190 OWENS WAY, Alpharetta, GA 30004-7357
- **Phone:** (404) 218-4912 · **Fax:** (770) 872-7463
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mark S Dickinson Od PC (NPI 1871636399, Alpharetta, GA); Marietta Eye Clinic, PA (NPI 1396441465, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** March 11, 2013
- **Other identifiers:** Medicaid 000313046B (GA); Medicaid 000313046A (GA); Medicare UPIN U22264 (GA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1457430464) · Data from the CMS NPPES public registry.