DR. GRACE M OMALLEY DICKINSON MD
NPI 1689640575
Ophthalmology in Southampton, NY

Active since February 28, 2006PECOS Enrolled
100/100
CMS Quality Rating
186 OLD TOWN RD, SOUTHAMPTON, NY 11968(631) 283-3533(631) 287-0571 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Grace M Omalley Dickinson Md NPPES

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

DR. GRACE M OMALLEY DICKINSON MD (NPI 1689640575) is an individual ophthalmology provider in Southampton, New York, licensed in New York (151395) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689640575
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. GRACE M OMALLEY DICKINSONCredential: MD
Location Address186 OLD TOWN RDSouthampton, NY 11968-5013
Mailing Address260 E Middle Country Rd, Suite 201Smithtown, NY 11787-2982 · (631) 265-8780 · Fax (631) 265-8521
Fax(631) 287-0571
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 30, 2013
NPI 1689640575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 151395
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
186 OLD TOWN RD, Southampton, NY 11968

Other Identifiers 5

Medicare PINA400052788NY
Medicare NSC4085670001
Medicare PINA100052790NY
Medicare PIN43D651NY
Medicare UPINB14524NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Grace M Omalley Dickinson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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

Other Providers at the Same Location NPPES 3

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

Ophthalmology
186 OLD TOWN RD
SOUTHAMPTON, NY 11968
Audiologist
186 OLD TOWN RD
SOUTHAMPTON, NY 11968
Optometrist
186 OLD TOWN RD
SOUTHAMPTON, NY 11968

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 Grace Omalley Dickinson's NPI number?

The NPI number for Grace Omalley Dickinson is 1689640575. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Grace Omalley Dickinson located?

Grace Omalley Dickinson practices at 186 Old Town Rd, Southampton, NY 11968. The listed phone number is (631) 283-3533.

What is Grace Omalley Dickinson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Grace Omalley Dickinson enrolled in Medicare?

Yes. Grace Omalley Dickinson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Omalley Dickinson was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.