DR. JOHN D DICKINSON D.O.
NPI 1457606279
Neurological Surgery in Idaho Falls, ID

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
2353 CORONADO ST, IDAHO FALLS, ID 83404(208) 542-4181(208) 542-4182 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2021, Jul 25, 2018, May 2, 2018 (3 updates tracked since 2018).

About Dr. John D Dickinson D.o. NPPES

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

DR. JOHN D DICKINSON D.O. (NPI 1457606279) is an individual neurological surgery provider in Idaho Falls, Idaho, licensed in Idaho (O-1102) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and maintains a secondary practice location in Rexburg.

NPPES Registry Identity

NPI1457606279
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JOHN D DICKINSONCredential: D.O.
Location Address2353 CORONADO STIdaho Falls, ID 83404-7407
Mailing Address2353 Coronado StIdaho Falls, ID 83404-7407 · (208) 542-4181 · Fax (208) 542-4182
Fax(208) 542-4182
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 18, 2012
Last NPPES UpdateJanuary 4, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1457606279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in ID · O-1102
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

2353 CORONADO ST, Idaho Falls, ID 83404

Secondary Practice Location 1

Location 1404 N 2nd ERexburg, ID 83440-1608 · Phone (208) 542-4181 · Fax (208) 542-4182

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. John D Dickinson 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 ID4385933191
PECOS Enrollment IDI20180605002889
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services54 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
18 services18 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130074
Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier13 claims13 services$3,761.15 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 3

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

Psychiatry & Neurology (Neurology)
2353 CORONADO ST
IDAHO FALLS, ID 83404
Psychiatry & Neurology (Neurology)
2353 CORONADO ST
IDAHO FALLS, ID 83404
Psychiatry & Neurology (Neurology)
2353 CORONADO ST
IDAHO FALLS, ID 83404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457606279, enumerated as an "individual" on July 18, 2012.

The provider is located at 2353 CORONADO ST IDAHO FALLS, ID 83404 and the phone number is (208) 542-4181.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Providence Health Plan,. Please consult your insurance carrier or call the provider to verify.

John Dickinson is affiliated with: EASTERN IDAHO REGIONAL MEDICAL CENTER, MADISON MEMORIAL HOSPITAL, PORTNEUF MEDICAL CENTER, MOUNTAIN VIEW HOSPITAL and IDAHO FALLS COMMUNITY HOSPITAL, LLC.