DR. DANIEL JACKSON DICKMAN D.O.
NPI 1902256548
Radiology - Diagnostic Radiology in Boise, ID

Q: What is Daniel Dickman's NPI number?

The NPI number for Daniel Dickman is 1902256548. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Daniel Dickman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Dickman was last updated on July 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment

81.48/100

CMS Quality Rating

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2809(208) 381-1791 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2022, Jul 2, 2021, May 20, 2021 and 2 more (5 updates tracked since 2016).

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About Dr. Daniel Jackson Dickman D.o. NPPES

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

DR. DANIEL JACKSON DICKMAN D.O. (NPI 1902256548) is an individual diagnostic radiology provider in Boise, Idaho, licensed in Idaho (O-1709) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902256548

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. DANIEL JACKSON DICKMANCredential: D.O.

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address2894 W Neff StBoise, ID 83703-5404 · (208) 794-0909

Phone(208) 381-2809

Fax(208) 381-1791

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 14, 2016

Last NPPES UpdateJuly 8, 20225 updates tracked since enumeration

NPPES CertifiedJuly 8, 2022

✔ NPI 1902256548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in ID · O-1709✔ Licensed in AZ · 009081

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedSurgeryTaxonomy 208600000X · License R2701 (AZ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

190 E BANNOCK ST, Boise, ID 83712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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. Daniel Jackson Dickman D.o. 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 ID2264834415

PECOS Enrollment IDI20220621003397

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 10

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.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

1,691 services1,691 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

1,676 services1,676 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

230 services227 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

201 services196 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

197 services182 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

164 services162 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131311

Location895 North 6th EastMountain Home, ID 83647 · Elmore County

Emergency services Birthing friendly

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131323

Location100 Hospital DriveKetchum, ID 83340 · Blaine County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

81.48/100

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

Scored as part of a group practice

Quality

84.9

Improvement Activities

Cost

65.95

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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.

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)