KENNETH ROBERT DICKERSON O.D.
NPI 1588778393
Optometrist in Rochester, NY
About Kenneth Robert Dickerson O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH ROBERT DICKERSON O.D. (NPI 1588778393) is an individual optometrist in Rochester, New York, licensed in New York (007366) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2006).
NPPES Registry Identity
Specialties & Licenses
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
Kenneth Robert Dickerson O.d. 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 Reassignment
Medicare enrollment records show Kenneth Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 59 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
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 14642 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
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 Kenneth Dickerson's NPI number?
The NPI number for Kenneth Dickerson is 1588778393. It was assigned to this individual provider in the NPPES registry on August 18, 2006.
Where is Kenneth Dickerson located?
Kenneth Dickerson practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 273-3937.
What is Kenneth Dickerson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kenneth Dickerson enrolled in Medicare?
Yes. Kenneth 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.
Which organization bills Medicare for Kenneth Dickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Dickerson reassigns Medicare benefits to Strong Eye Care (Rochester, NY). 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 Kenneth Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Dickerson 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 and 6 other insurers list Kenneth 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 Kenneth Dickerson was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kenneth Robert Dickerson, O.D. · NPI 1588778393
Optometrist provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1588778393 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 007366 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 273-3937 · **Fax:** (585) 506-4185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Strong Eye Care (NPI 1760413447, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2006
## Record status
- **NPPES last updated:** July 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1588778393) · Data from the CMS NPPES public registry.