DR. CLARK BART DICKSON M.D.
NPI 1770560427
Otolaryngology in Southfield, MI

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
29201 TELEGRAPH RD, SUITE 500, SOUTHFIELD, MI 48034(248) 569-5985(248) 569-3704 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clark Bart Dickson M.d. NPPES

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

DR. CLARK BART DICKSON M.D. (NPI 1770560427) is an individual otolaryngology provider in Southfield, Michigan, licensed in Michigan (CD046491) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of University Of Cincinnati College Of Medicine (1982).

NPPES Registry Identity

NPI1770560427
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. CLARK BART DICKSONCredential: M.D.
Location Address29201 TELEGRAPH RD, SUITE 500Southfield, MI 48034-1331
Mailing Address29201 Telegraph Rd, Suite 500Southfield, MI 48034-1331 · (248) 569-5985 · Fax (248) 569-3704
Fax(248) 569-3704
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1982
Enumeration DateDecember 23, 2005
Last NPPES UpdateMarch 13, 2012
NPI 1770560427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MI · CD046491
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
29201 TELEGRAPH RD, Southfield, MI 48034

Other Identifiers 3

Medicare UPINE25598MI
Medicaid3211330MI
Medicare ID-Type Unspecified0632207MI

Accepted 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

Dr. Clark Bart Dickson 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 ID5799713723
PECOS Enrollment IDI20070611000021
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 17

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.
545 services393 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.
252 services207 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
182 services169 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
179 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
159 services159 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
147 services147 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
78%655 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Ophthalmology
29201 TELEGRAPH RD, SUITE #606
SOUTHFIELD, MI 48034
Internal Medicine (Cardiovascular Disease)
29201 TELEGRAPH RD, SUITE 460
SOUTHFIELD, MI 48034
Nurse Practitioner
29201 TELEGRAPH RD, SUITE 404
SOUTHFIELD, MI 48034
Ophthalmology
29201 TELEGRAPH RD, SUITE 606
SOUTHFIELD, MI 48034
Internal Medicine (Cardiovascular Disease)
29201 TELEGRAPH RD
SOUTHFIELD, MI 48034
Specialist
29201 TELEGRAPH RD, SUITE 500
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29201 TELEGRAPH RD, SUITE 550
SOUTHFIELD, MI 48034
Urology
29201 TELEGRAPH RD, SUITE 460
SOUTHFIELD, MI 48034

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 Clark Dickson's NPI number?

The NPI number for Clark Dickson is 1770560427. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Clark Dickson located?

Clark Dickson practices at 29201 Telegraph Rd Suite 500, Southfield, MI 48034. The listed phone number is (248) 569-5985.

What is Clark Dickson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Clark Dickson enrolled in Medicare?

Yes. Clark Dickson 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 Clark Dickson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Clark Dickson 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 Clark Dickson affiliated with any hospitals?

According to CMS data, Clark Dickson is affiliated with Ascension Providence Hospital, Southfield And Novi, Beaumont Hospital - Farmington Hills and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Clark Dickson was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.