DR. DIANE DICKINSON (M.D.) – Family Medicine Physician, NPI 1104860519
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. DIANE DICKINSON (M.D.)
4058 D St
Eureka, CA 955036025
Phone: (707) 599-1561
Fax: (707) 825-1116
Type: Location
Arcata Post Office, 799, H Street, Arcata, Humboldt County, California, 95521, United States
ARCATA, CA 955181127
Phone: (707) 599-1561
Fax: (707) 825-1116
Type: Mailing
4058, D Street, South California, Lundbar Hills, Eureka, Humboldt County, California, 95503, United States
EUREKA, CA 955036025
Phone: (707) 599-1561
Fax: (707) 825-1116
Type: Location
100 FORE ST
PORTLAND, ME 041014879
Phone: (207) 808-0080
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20050720000734 | I | Family Practice | CA | TBD |
| I20211104002584 | I | Family Practice | CT | TBD |
| I20220301000327 | I | Family Practice | MA | TBD |
| I20220302000787 | I | Family Practice | ME | TBD |
| I20230214001644 | I | Family Practice | NH | 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 |
|---|---|---|---|---|
| 74230 | Imaging for evaluation of swallowing function | 633 | 619 | $0 |
| 74240 | Single contrast x-ray of upper digestive tract | 554 | 544 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 368 | 368 | $0 |
| 71045 | X-ray of chest, 1 view | 208 | 205 | $0 |
| 92611 | Evaluation of swallowing function image | 182 | 177 | $0 |
Insurance plans in this area (ZIP 95503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Diagnostic Radiology | MA | |
| - | MA | |
| Pathology, Addiction Medicine | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Family Practice | MA | |
| Internal Medicine | MA |
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