JIM C DICKERT (DO) – Family Medicine Physician, NPI 1073695755

JIM C DICKERT (DO) is a healthcare provider. based in Crystal river, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS0005062 (FL). The NPI Number for JIM C DICKERT (DO) is 1073695755

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JIM C DICKERT (DO)
NPI
1073695755
Phone
(352) 795-0644
Address
6199 W GULF TO LAKE HWY
Enumeration Date
20 October 2006
Last Update Date
31 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527950644
Graduation Year
1985 (41 years ago)
PAC ID
3577582170
Group Practice PAC ID
5597784199
Professional Enrollment ID
I20051115000118
Address ID
FL344295736CR1250XDRXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for JIM C DICKERT (DO)

  • Gulf to Lake Highway, Crystal River, Citrus County, Florida, 34429, United States

    CRYSTAL RIVER, FL 344292679

    Phone: (352) 795-0644

    Fax: (352) 795-5950

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($32).

Total Amount

$85

General + Research + Ownership

Payments

5

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2005-11-15

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
I20051115000118IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3,4861,215$0
36415Insertion of needle into vein for collection of blood sample2,475865$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2,172854$0
84132Blood potassium level2,134812$0
82435Blood chloride level2,108809$0
View full utilization report →

Insurance plans in this area (ZIP 34429)

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Provider's Procedures

JIM C DICKERT (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL17003Destruction of 2-14 skin growths26461
INTERNAL MEDICINEFL73562X-ray of knee, 3 views5348
INTERNAL MEDICINEFL73630X-ray of foot, minimum of 3 views3735
INTERNAL MEDICINEFL83036Hemoglobin A1C level757332
INTERNAL MEDICINEFL85610Blood test, clotting time59067
INTERNAL MEDICINEFL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2424

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: 5597784199View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineFL
Nurse PractitionerFL
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

Is there an official ID for JIM C DICKERT (DO) in U.S. healthcare records?
The official identifier for JIM C DICKERT (DO) is NPI 1073695755.
Is JIM C DICKERT (DO) shown as active in public data?
Registry records indicate JIM C DICKERT (DO) maintains an active NPI.
What expertise is attributed to JIM C DICKERT (DO)?
JIM C DICKERT (DO)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is JIM C DICKERT (DO) registered?
Use Crystal River, Florida as the headline location for JIM C DICKERT (DO) here.
Can I trust this NPI listing for JIM C DICKERT (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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