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KYLIE PAIGE DICKMAN MD
NPI 1881223063
Surgery in Flagstaff, AZ

Active since April 08, 2020PECOS Enrolled
77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001(928) 773-2222(928) 773-2598 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Apr 17, 2020, Apr 8, 2020 (3 updates tracked since 2020).

About Kylie Paige Dickman Md NPPES

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

KYLIE PAIGE DICKMAN MD (NPI 1881223063) is an individual surgery provider in Flagstaff, Arizona, licensed in Arizona (81361) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881223063
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKYLIE PAIGE DICKMANCredential: MD
Location Address77 W FOREST AVE STE 201Flagstaff, AZ 86001-1483
Mailing Address77 W Forest Ave Ste 201Flagstaff, AZ 86001-1483 · (928) 773-2222 · Fax (928) 773-2598
Phone(928) 773-2222
Fax(928) 773-2598
Sole ProprietorNo
Enumeration DateApril 8, 2020
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1881223063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 81361
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 81361 (AZ)
77 W FOREST AVE STE 201, Flagstaff, AZ 86001
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Secondary Practice Locations 2

Location 12213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-6596
Location 2111 S Grant AveColumbus, OH 43215-1898 · Phone (614) 566-9108 · Fax (614) 566-9110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Paige Dickman 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.

Medicare Billing Reassignment

Medicare enrollment records show Kylie Dickman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Flagstaff Surgical Associates PA
0.1 mi
Surgical Critical Care
77 W FOREST AVE STE 201
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 36 clinicians in this Medicare group
NPI 1114995271 (928) 773-2222

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 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 17

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

DR. WILLIAM JOHN BADGER M.D.
Urology
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2222
FLAGSTAFF SURGICAL ASSOCIATES PA
Surgery (Surgical Critical Care)
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2222
KATE PRESTON M.D.
Surgery
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2222
SARAH MARIAM SOHAIL MD
Surgery
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2222
JOHN ANTHONY STUPINSKI MD
Surgery
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2222
ROBERT A BERGER M.D.
Surgery
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2222
ANDREW J ALDRIDGE MD
Surgery
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2222
SYDNEY MARIE POEHLS PA
Physician Assistant
77 W FOREST AVE STE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2222

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 Kylie Dickman's NPI number?

The NPI number for Kylie Dickman is 1881223063. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Kylie Dickman located?

Kylie Dickman practices at 77 W Forest Ave Ste 201, Flagstaff, AZ 86001. The listed phone number is (928) 773-2222.

What is Kylie Dickman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kylie Dickman enrolled in Medicare?

Yes. Kylie Dickman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kylie Dickman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Dickman reassigns Medicare benefits to Flagstaff Surgical Associates PA (Flagstaff, AZ). 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 Kylie Dickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kylie Dickman was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.