SAMUEL LEFEBVRE DICKMAN M.D.
NPI 1669826350
Internal Medicine in San Antonio, TX

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
920 SAN PEDRO AVE, SAN ANTONIO, TX 78212(210) 736-2475 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samuel Lefebvre Dickman M.d. NPPES

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

SAMUEL LEFEBVRE DICKMAN M.D. (NPI 1669826350) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (S1389) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2016).

NPPES Registry Identity

NPI1669826350
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL LEFEBVRE DICKMANCredential: M.D.
Location Address920 SAN PEDRO AVESan Antonio, TX 78212-4607
Mailing Address2140 Babcock RdSan Antonio, TX 78229-4424
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateNovember 8, 2019
✔ NPI 1669826350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S1389
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
920 SAN PEDRO AVE, San Antonio, TX 78212

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

Samuel Lefebvre Dickman M.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.

PECOS PAC ID7618216987
PECOS Enrollment IDI20220520001467
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 Samuel Dickman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Planning, Non-Surgical
1844 BROADWATER AVE SUITE 4, (PPMT BILLINGS WEST)
Billings, MT 59102
  • Reassigned Medicare billing, Montana enrollment
  • 20 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Specialist
920 SAN PEDRO AVE
SAN ANTONIO, TX 78212
Nurse Practitioner (Women's Health)
920 SAN PEDRO AVE
SAN ANTONIO, TX 78212

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 Samuel Dickman's NPI number?

The NPI number for Samuel Dickman is 1669826350. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Samuel Dickman located?

Samuel Dickman practices at 920 San Pedro Ave, San Antonio, TX 78212. The listed phone number is (210) 736-2475.

What is Samuel Dickman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Dickman enrolled in Medicare?

Yes. Samuel Dickman 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 Samuel Dickman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Dickman reassigns Medicare benefits to Intermountain Planned Parenthood Inc (Billings, MT). 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 Samuel Dickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Dickman accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Samuel Dickman 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 Samuel Dickman was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.