WADE ALDEN DICKINSON (MD) – Gynecology Physician, NPI 1104827922

WADE ALDEN DICKINSON (MD) is a healthcare provider. based in Fresno, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. A62554 (CA). The NPI Number for WADE ALDEN DICKINSON (MD) is 1104827922

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
WADE ALDEN DICKINSON (MD)
NPI
1104827922
Phone
(559) 495-3120
Address
3812 N 1ST ST
Enumeration Date
2 August 2005
Last Update Date
18 March 2013

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
5592440133
Graduation Year
1995 (31 years ago)
PAC ID
0042202996
Group Practice PAC ID
4981987559
Professional Enrollment ID
I20040331001646
Address ID
CA937107007FR5293XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for WADE ALDEN DICKINSON (MD)

  • 3812, North 1st Street, Fresno, Fresno County, California, 93726, United States

    FRESNO, CA 937264301

    Phone: (559) 495-3120

    Fax: (559) 495-3134

    Type: Mailing

  • 3152, North Millbrook Avenue, Fresno, Fresno County, California, 93703, United States

    #SUITE B

    FRESNO, CA 937031459

    Phone: (559) 244-0133

    Fax: (559) 244-0148

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,023.

Total Amount is formed as General ($1,023) + Research ($0) + Ownership ($0) = $1,023.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($181).

Total Amount

$1,023

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,023

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040331001646IObstetrics/GynecologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination8585$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory8484$0
99213Established patient office or other outpatient visit, 20-29 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 93726)

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Provider's Procedures

WADE ALDEN DICKINSON (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYCA81002Urinalysis, manual test41196

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981987559View full group profile
NameSpecialtyState
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for WADE ALDEN DICKINSON (MD)?
WADE ALDEN DICKINSON (MD) — NPI 1104827922 — is the standard way to identify this listing.
Is WADE ALDEN DICKINSON (MD) listed as active for patients and plans?
The listing shows WADE ALDEN DICKINSON (MD) as active in the NPI system.
What is WADE ALDEN DICKINSON (MD)'s primary classification?
Gynecology Physician is the headline specialty for WADE ALDEN DICKINSON (MD) here. Clinical services aligned with this taxonomy classification.
Where is WADE ALDEN DICKINSON (MD) based?
WADE ALDEN DICKINSON (MD) is tied to Fresno, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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