JEDEDIAH DIXON MD
NPI 1619165842
Radiology - Vascular & Interventional Radiology in Loma Linda, CA

Active since October 12, 2007PECOS Enrolled
88.83/100
CMS Quality Rating
DEPT VETERANS AFFAIRS 11201 BENTON STREET, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jedediah Dixon Md NPPES

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

JEDEDIAH DIXON MD (NPI 1619165842) is an individual vascular & interventional radiology provider in Loma Linda, California, licensed in California (A109534) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with North Vista Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1619165842
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameJEDEDIAH DIXONCredential: MD
Location AddressDEPT VETERANS AFFAIRS 11201 BENTON STREETLoma Linda, CA 92357-1000
Mailing Address5753 E Santa Ana Canyon Rd Ste G, Box 457Anaheim, CA 92807-3296 · (714) 392-0556
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 12, 2007
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1619165842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in CA · A109534
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57-013185 (OH)
DEPT VETERANS AFFAIRS 11201 BENTON STREET, Loma Linda, CA 92357

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jedediah Dixon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789812140
PECOS Enrollment IDI20140109000470, I20220405002316
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 Reassignments

5

Medicare enrollment records show Jedediah Dixon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1720 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 53 clinicians in this Medicare group
Vascular & Interventional Radiology
8930 W SUNSET RD STE 350
Las Vegas, NV 89148
  • Reassigned Medicare billing, Nevada enrollment
  • 16 clinicians in this Medicare group
Critical Access
1 MARCELA DRIVE
Willits, CA 95490
  • Reassigned Medicare billing, California enrollment
  • 134 clinicians in this Medicare group
Diagnostic Radiology
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
Diagnostic Radiology
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, California enrollment
  • 14 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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
132 services114 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
31 services31 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

North Vista Hospital

Acute Care Hospitals · North Las Vegas, NV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290005
Location1409 East Lake Mead BlvdNorth Las Vegas, NV 89030 · Clark County
Emergency services

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510002
Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County
Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92357 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

88.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost29.46

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 Jedediah Dixon's NPI number?

The NPI number for Jedediah Dixon is 1619165842. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Jedediah Dixon located?

Jedediah Dixon practices at Dept Veterans Affairs 11201 Benton Street, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Jedediah Dixon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Jedediah Dixon enrolled in Medicare?

Yes. Jedediah Dixon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jedediah Dixon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jedediah Dixon reassigns Medicare benefits to 5 organizations: Radiology Medical Group Of Wmmc (Los Angeles, CA), Las Vegas Vascular & Interventional Specialists, LLC (Las Vegas, NV), Willits Hospital Inc. (Willits, CA), Radiology Associates Of South Carolina LLC (Greenville, SC) and West Virginia Radiology Associates PC (Charleston, WV). 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 Jedediah Dixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jedediah Dixon affiliated with any hospitals?

According to CMS data, Jedediah Dixon is affiliated with North Vista Hospital, Camc Greenbrier Valley Medical Center, Inc and Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Jedediah Dixon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.