1. Home
  2. Directory
  3. Georgia
  4. Cumming
  5. Physician Assistant
  6. NPI Profile

MS. KIMBERLY DAWN DYCKMAN PA-C
NPI 1598009557
Physician Assistant in Cumming, GA

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1100 NORTHSIDE FORSYTH DR, SUITE 200, CUMMING, GA 30041(770) 887-2323 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Dawn Dyckman Pa-c NPPES

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

MS. KIMBERLY DAWN DYCKMAN PA-C (NPI 1598009557) is an individual physician assistant in Cumming, Georgia, licensed in Georgia (6644) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1598009557
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KIMBERLY DAWN DYCKMANCredential: PA-C
Location Address1100 NORTHSIDE FORSYTH DR, SUITE 200Cumming, GA 30041-6012
Mailing Address1100 Northside Forsyth Drive, St 200Cumming, GA 30041 · (770) 887-2323
Phone(770) 887-2323
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
✔ NPI 1598009557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 6644
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 NORTHSIDE FORSYTH DR, Cumming, GA 30041
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Ms. Kimberly Dawn Dyckman Pa-c 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 ID8022388354
PECOS Enrollment IDI20240311001751
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 8

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.

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.
158 services126 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.
82 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

CHAD A LEVITT MD PC
Specialist
1100 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 292-7000
JENNA LYNN FREEMAN ATC, LAT
Specialist/Technologist (Athletic Trainer)
1100 NORTHSIDE FORSYTH DR, SUITE 440
CUMMING, GA 30041
Forsyth County (678) 341-6790
DR. JOHN P GORECKI MD
Neurological Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 310
CUMMING, GA 30041
Forsyth County (678) 730-7796
JASON DAVID GRABROVAC PA-C
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Forsyth County (770) 886-8111
DR. CHANCEY B. C. WASHBURN D.M.D.
Dentist
1100 NORTHSIDE FORSYTH DR, SUITE 420
CUMMING, GA 30041
Forsyth County (678) 455-4560
DR. MATHEW LEVINE D.O.
Orthopaedic Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Forsyth County (770) 886-8111
MRS. HEATHER PETERS CPNP
Registered Nurse (Pediatrics)
1100 NORTHSIDE FORSYTH DR, STE 360
CUMMING, GA 30041
Forsyth County (770) 888-8888
STEVEN P HORNE P.A.
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 240
CUMMING, GA 30041
Forsyth County (678) 947-6440

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 Kimberly Dyckman's NPI number?

The NPI number for Kimberly Dyckman is 1598009557. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Kimberly Dyckman located?

Kimberly Dyckman practices at 1100 Northside Forsyth Dr Suite 200, Cumming, GA 30041. The listed phone number is (770) 887-2323.

What is Kimberly Dyckman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Dyckman enrolled in Medicare?

Yes. Kimberly Dyckman 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 Kimberly Dyckman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Kimberly Dyckman 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 Kimberly Dyckman affiliated with any hospitals?

According to CMS data, Kimberly Dyckman is affiliated with St Vincent Healthcare.

When was this NPI record last updated?

The NPPES record for Kimberly Dyckman was last updated on November 15, 2012. 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.