DR. RUSSELL DICKERSON (M.D.) – Diagnostic Radiology Physician, NPI 1023062320
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for DR. RUSSELL DICKERSON (M.D.)
PO BOX 190
SIMI VALLEY, CA 930620190
Phone: (805) 522-5940
Fax: (805) 522-6401
Type: Mailing
Del Amo Hospital, 3330, Lomita Boulevard, Torrance, Los Angeles County, California, 90505, United States
TORRANCE, CA 905055002
Phone: (310) 517-4675
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($34).
Total Amount
$34
General + Research + Ownership
Payments
1
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $34 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060208000881 | I | Diagnostic Radiology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 307 | 307 | $0 |
| 77063 | Screening 3d breast mammography | 307 | 307 | $0 |
| 71045 | X-ray of chest, 1 view | 240 | 226 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 79 | 74 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 71 | 71 | $0 |
Insurance plans in this area (ZIP 93062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Radiation Oncology | CA | |
| Radiation Oncology | IL | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | NY | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| - | CA | |
| Plastic And Reconstructive Surgery | CA |
Reviews
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