KENTON MICHAEL DICKISON PA-C
NPI 1699364398
Physician Assistant in Dayton, OH

Q: What is Kenton Dickison's NPI number?

The NPI number for Kenton Dickison is 1699364398. It was assigned to this individual provider in the NPPES registry on January 16, 2021.

Q: What is Kenton Dickison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenton Dickison was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 16, 2021PECOS EnrolledAccepts Medicare Assignment

76.79/100

CMS Quality Rating

4100 W 3RD ST, DAYTON, OH 45428(937) 268-6511 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Jan 16, 2021 (2 updates tracked since 2021).

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About Kenton Michael Dickison Pa-c NPPES

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

KENTON MICHAEL DICKISON PA-C (NPI 1699364398) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.006825RX) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699364398

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENTON MICHAEL DICKISONCredential: PA-C

Location Address4100 W 3RD STDayton, OH 45428-9000

Mailing Address4100 W 3rd StDayton, OH 45428-9000 · (937) 268-6511

Phone(937) 268-6511

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 16, 2021

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1699364398 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 OH · 50.006825RX

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.

4100 W 3RD ST, Dayton, OH 45428

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Other Identifiers 1

Medicaid50.006825RXOH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Kenton Michael Dickison 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 ID4385050756

PECOS Enrollment IDI20210309002763

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 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.

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.

249 services235 patients

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.

234 services207 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

20 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45428 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

76.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.65

Promoting Interoperability

100

Improvement Activities

Cost

57.98

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.

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