MS. DEDRI MARKITA IVORY M.D.
NPI 1851585004
Internal Medicine - Rheumatology in Vicksburg, MS

Q: What is Dedri Ivory's NPI number?

The NPI number for Dedri Ivory is 1851585004. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Q: What is Dedri Ivory's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Dedri Ivory was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment

85.07/100

CMS Quality Rating

3510 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180(601) 501-6991(601) 501-6987 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Ms. Dedri Markita Ivory M.d. NPPES

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

MS. DEDRI MARKITA IVORY M.D. (NPI 1851585004) is an individual rheumatology provider in Vicksburg, Mississippi, licensed in Mississippi (21520) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1851585004

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameMS. DEDRI MARKITA IVORYCredential: M.D.

Location Address3510 PEMBERTON SQUARE BLVDVicksburg, MS 39180-5506

Mailing Address3510 Pemberton Square BlvdVicksburg, MS 39180-5506 · (601) 501-6991 · Fax (601) 501-6987

Phone(601) 501-6991

Fax(601) 501-6987

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 30, 2007

Last NPPES UpdateJanuary 13, 2017

✔ NPI 1851585004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in MS · 21520

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 57.011968 (OH), 2009009253 (MO)

3510 PEMBERTON SQUARE BLVD, Vicksburg, MS 39180

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN302I665215MS

Medicare PIN529450ZWJH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Ms. Dedri Markita Ivory 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 ID9335319516

PECOS Enrollment IDI20110825000318

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 Dedri Ivory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

River City Medical And Arthritis Center LLC

Same address

Rheumatology

3510 PEMBERTON SQUARE BLVD
Vicksburg, MS 39180

Reassigned Medicare billing, Mississippi enrollment
2 clinicians in this Medicare group

NPI 1508229378 (601) 501-6991

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 14

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,920 services21 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,788 services132 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.

903 services442 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

716 services99 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

570 services159 patients

X-ray of hand, 2 views 73120

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

251 services127 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

204 services103 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

188 services95 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.

101 services101 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

77 services18 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

62 services11 patients

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.

42 services37 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

29 services16 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

24 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250031

Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County

Emergency services Birthing friendly

Merit Health Natchez

Acute Care Hospitals · Natchez, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250084

Location52 Sergeant Prentiss DriveNatchez, MS 39120 · Adams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39180 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

85.07/100

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

Individually scored

Quality

76.69

Promoting Interoperability

Improvement Activities

Cost

76.05

Reported Quality Measures

Advance Care Plan

86%784 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

57%375 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

13%1,399 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

44%1,179 patients2/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

90%40 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%3,723 patients5/55-star benchmark: 100%

e-Prescribing

95%3,089 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

27%732 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

97%1,906 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

25%1,286 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 83% · 1,353 patients

Patients screened: 88% · 1,353 patients

57%159 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

66%1,611 patients3/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

10%497 patients1/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

75%103 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 795 patients

Patients totalRate: 10% · 795 patients

10%795 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

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

RIVER CITY MEDICAL AND ARTHRITIS CENTER LLC

Internal Medicine (Rheumatology)

3510 PEMBERTON SQUARE BLVD
VICKSBURG, MS 39180

Warren County (601) 501-6991

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 Dedri Ivory's NPI number?

The NPI number for Dedri Ivory is 1851585004. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Dedri Ivory located?

Dedri Ivory practices at 3510 Pemberton Square Blvd, Vicksburg, MS 39180. The listed phone number is (601) 501-6991.

What is Dedri Ivory's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Dedri Ivory enrolled in Medicare?

Yes. Dedri Ivory 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 Dedri Ivory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dedri Ivory reassigns Medicare benefits to River City Medical And Arthritis Center LLC (Vicksburg, MS). 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 Dedri Ivory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dedri Ivory accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Dedri Ivory 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 Dedri Ivory affiliated with any hospitals?

According to CMS data, Dedri Ivory is affiliated with Merit Health River Region and Merit Health Natchez.

When was this NPI record last updated?

The NPPES record for Dedri Ivory was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.