DR. MARK DALE DIXON (DO) – Emergency Medicine Physician, NPI 1245286400

DR. MARK DALE DIXON (DO) is a healthcare provider. based in Tampa, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. ME63074 (FL). The NPI Number for DR. MARK DALE DIXON (DO) is 1245286400

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK DALE DIXON (DO)
NPI
1245286400
Phone
(813) 972-4199
Address
12479 TELECOM DR
Enumeration Date
26 May 2006
Last Update Date
2 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7279425008
Graduation Year
1990 (36 years ago)
PAC ID
0547270712
Group Practice PAC ID
0345260345
Professional Enrollment ID
I20060502000820
Address ID
FL346893790TA1395XAVEX400
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

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for DR. MARK DALE DIXON (DO)

  • Holiday Inn Express Tampa N I-75 - University Area, 13294, Telecom Drive, Tampa, Hillsborough County, Florida, 33637, United States

    TAMPA, FL 336370913

    Phone: (813) 972-4199

    Fax: (813) 972-5753

    Type: Mailing

  • AdventHealth North Pinellas, 1395, South Pinellas Avenue, Tarpon Springs, Pinellas County, Florida, 34689, United States

    TARPON SPRINGS, FL 346893790

    Phone: (813) 972-4199

    Fax: (813) 972-5753

    Type: Location

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: 2014-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060502000820IEmergency MedicineFLTBD
I20140718001057IEmergency MedicineMITBD

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
99284Emergency department visit with moderate level of medical decision making3836$0
99285Emergency department visit with high level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 33637)

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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: 0345260345View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineIL
Emergency MedicineFL
-FL
Emergency MedicineFL
Emergency MedicineMI
-FL
Emergency MedicinePR
Emergency MedicineFL

Reviews

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Frequently asked questions

What NPI should I save for DR. MARK DALE DIXON (DO)?
Save NPI 1245286400 if you need a stable reference for DR. MARK DALE DIXON (DO).
Does this profile mean DR. MARK DALE DIXON (DO) is currently active?
Yes — DR. MARK DALE DIXON (DO) appears active in the national provider directory.
What field does DR. MARK DALE DIXON (DO) work in?
You can think of DR. MARK DALE DIXON (DO) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MARK DALE DIXON (DO)?
We surface Tampa, Florida for DR. MARK DALE DIXON (DO) based on available NPPES addresses.
Is DR. MARK DALE DIXON (DO) a real provider?
This page reflects official NPPES data for NPI 1245286400. Always confirm identity and privileges with the practice and licensing boards.

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