KEITH DICKERSON (M.D.) – Family Medicine Physician, NPI 1043296924

KEITH DICKERSON (M.D.) is a healthcare provider. based in Grand junction, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 42576 (CO). The NPI Number for KEITH DICKERSON (M.D.) is 1043296924

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KEITH DICKERSON (M.D.)
NPI
1043296924
Phone
(970) 298-2800
Address
1160 PATTERSON RD
Enumeration Date
21 December 2005
Last Update Date
4 April 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
9702982800
Graduation Year
1997 (29 years ago)
PAC ID
7618945551
Group Practice PAC ID
1557267069
Professional Enrollment ID
I20040920000440
Address ID
CO815068818GR2698XRDXX300
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

2,660 FAMILY PRACTICE in CO

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Provider Addresses for KEITH DICKERSON (M.D.)

  • Patterson Road, Westwood Estates, Grand Junction, Mesa County, Colorado, 81506, United States

    PO BOX 62

    GRAND JUNCTION, CO 815068275

    Phone: (970) 298-2800

    Fax: (970) 298-7522

    Mailing address matches the actual address.

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: 2004-09-20

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
I20040920000440IFamily PracticeCOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8037$0
99213Established patient office or other outpatient visit, 20-29 minutes5650$0
99214Established patient office or other outpatient visit, 30-39 minutes5038$0
99238Hospital discharge day management, 30 minutes or less3230$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2625$0
View full utilization report →

Insurance plans in this area (ZIP 81506)

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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: 1557267069View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KEITH DICKERSON (M.D.) in U.S. healthcare records?
The official identifier for KEITH DICKERSON (M.D.) is NPI 1043296924.
Is there an active status for KEITH DICKERSON (M.D.)?
For scheduling context, KEITH DICKERSON (M.D.) is shown as active in the registry.
What kind of doctor is KEITH DICKERSON (M.D.)?
KEITH DICKERSON (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KEITH DICKERSON (M.D.) associated with Grand Junction?
Public fields place KEITH DICKERSON (M.D.) around Grand Junction, Colorado. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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