SANDRA DEE DICKERSON MD
NPI 1912964107
Surgery in Irving, TX

Q: What is Sandra Dickerson's NPI number?

The NPI number for Sandra Dickerson is 1912964107. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Sandra Dickerson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Dickerson was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 01, 2006PECOS Enrolled

76.29/100

CMS Quality Rating

400 W INTERSTATE HWY 635 STE 130, IRVING, TX 75063(972) 579-5222(972) 579-3900 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sandra Dee Dickerson Md NPPES

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

SANDRA DEE DICKERSON MD (NPI 1912964107) is an individual surgery provider in Irving, Texas, licensed in Texas (J7469) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912964107

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameSANDRA DEE DICKERSONCredential: MD

Location Address400 W INTERSTATE HWY 635 STE 130Irving, TX 75063-3700

Mailing AddressPo Box 224702Dallas, TX 75222-4702 · (972) 579-5222 · Fax (972) 579-3900

Phone(972) 579-5222

Fax(972) 579-3900

Sole ProprietorYes

Enumeration DateMay 1, 2006

Last NPPES UpdateJuly 2, 2020

NPPES CertifiedJuly 2, 2020

✔ NPI 1912964107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · J7469

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 ListedPhlebologyTaxonomy 202K00000X · License J7469 (TX)

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License J7469 (TX)

400 W INTERSTATE HWY 635 STE 130, Irving, TX 75063

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Dee Dickerson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75063 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

76.29/100

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

Scored as part of a group practice

Quality

87.56

Improvement Activities

Cost

20.9

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 Sandra Dickerson's NPI number?

The NPI number for Sandra Dickerson is 1912964107. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Sandra Dickerson located?

Sandra Dickerson practices at 400 W Interstate Hwy 635 Ste 130, Irving, TX 75063. The listed phone number is (972) 579-5222.

What is Sandra Dickerson's specialty?

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

Is Sandra Dickerson enrolled in Medicare?

Yes. Sandra Dickerson is registered in the Medicare PECOS enrollment system.

What insurance does Sandra Dickerson accept?

Health plans from Blue Cross and Blue Shield of Texas list Sandra Dickerson 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.

When was this NPI record last updated?

The NPPES record for Sandra Dickerson was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.