JASON BRENT DICKERSON DPM
NPI 1528039377
Podiatrist - Foot & Ankle Surgery in Salt Lake City, UT

Q: What is Jason Dickerson's NPI number?

The NPI number for Jason Dickerson is 1528039377. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Jason Dickerson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Jason Dickerson was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 30, 2006PECOS Enrolled

0/100

CMS Quality Rating

6360 S 3000 E, STE 210, SALT LAKE CITY, UT 84121(801) 265-0600(801) 265-8600 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2017, Jan 25, 2017 (2 updates tracked since 2017).

On this page

About Jason Brent Dickerson Dpm NPPES

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

JASON BRENT DICKERSON DPM (NPI 1528039377) is an individual foot & ankle surgery provider in Salt Lake City, Utah, licensed in Utah (4830364-0501) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1528039377

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameJASON BRENT DICKERSONCredential: DPM

Location Address6360 S 3000 E, STE 210Salt Lake City, UT 84121-6972

Mailing Address6360 S 3000 E, Ste 210Salt Lake City, UT 84121-6972 · (435) 615-8822 · Fax (435) 615-8823

Phone(801) 265-0600

Fax(801) 265-8600

Sole ProprietorYes

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1998

Enumeration DateJanuary 30, 2006

Last NPPES UpdateDecember 6, 20172 updates tracked since enumeration

✔ NPI 1528039377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in UT · 4830364-0501

6360 S 3000 E, Salt Lake City, UT 84121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Brent Dickerson Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244134096

PECOS Enrollment IDI20031122000045

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 Billing Reassignment

Medicare enrollment records show Jason Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jason B Dickerson DPM Lc

9.4 mi

Foot & Ankle Surgery

5801 S FASHION BLVD STE 120
Murray, UT 84107

Reassigned Medicare billing, Utah enrollment

NPI 1164925467 (801) 261-1391

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 14

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

916 services83 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.

713 services247 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

349 services109 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

134 services134 patients

Injection into tendon at attachment to bone or muscle 20551

This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.

132 services31 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

105 services74 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

66 services39 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

47 services24 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

35 services28 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

34 services26 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

20 services14 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

19 services16 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

16 services11 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

14 services14 patients

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier27 claims27 services$233.10 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.

DR. JOSEPH J ALBANO M.D.

Neuromusculoskeletal Medicine, Sports Medicine

6360 S 3000 E, 210
SALT LAKE CITY, UT 84121

Salt Lake County (385) 220-9009

WESLEY J. LEWIS MD

Family Medicine (Sports Medicine)

6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121

Salt Lake County (801) 365-1032

JAMES P. LONGE MD

Family Medicine (Sports Medicine)

6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121

Salt Lake County (801) 365-1032

STEPHANIE SUE GELMAN MD

Internal Medicine (Infectious Disease)

6360 S 3000 E, STE 230
COTTONWOOD HEIGHTS, UT 84121

Salt Lake County (801) 748-1173

ABC PEDIATRICS, P.C.

Pediatrics

6360 S 3000 E, SUITE 230
COTTONWOOD HEIGHTS, UT 84121

Salt Lake County (801) 523-3030

DIANA GRAZULIS MD

Family Medicine

6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121

Salt Lake County (801) 365-1032

DR. PETER KENNETH MOSKOWITZ M.D.

Pediatrics

6360 S 3000 E, STE 230
COTTONWOOD HEIGHTS, UT 84121

Salt Lake County (801) 523-3030

ROBERT G. JONES M.D.

Internal Medicine (Gastroenterology)

6360 S 3000 E, #310
SALT LAKE CITY, UT 84121

Salt Lake County (801) 944-3189

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 Jason Dickerson's NPI number?

The NPI number for Jason Dickerson is 1528039377. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Jason Dickerson located?

Jason Dickerson practices at 6360 S 3000 E Ste 210, Salt Lake City, UT 84121. The listed phone number is (801) 265-0600.

What is Jason Dickerson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jason Dickerson enrolled in Medicare?

Yes. Jason Dickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jason Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Dickerson reassigns Medicare benefits to Jason B Dickerson DPM Lc (Murray, UT). The 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 Jason Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Dickerson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jason 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 Jason Dickerson was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.