DAVID A DICKINSON (DPM) – Podiatrist, NPI 1346372687

DAVID A DICKINSON (DPM) is a healthcare provider. based in Du quoin, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016005359 (IL). The NPI Number for DAVID A DICKINSON (DPM) is 1346372687

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DAVID A DICKINSON (DPM)
NPI
1346372687
Phone
(618) 542-2146
Address
900 N WASHINGTON ST
Enumeration Date
12 March 2007
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184393399
Graduation Year
2005 (21 years ago)
PAC ID
3375618598
Group Practice PAC ID
9537076401
Professional Enrollment ID
I20080821000510
Address ID
IL628121565BE1104XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for DAVID A DICKINSON (DPM)

  • 900 N WASHINGTON ST

    DU QUOIN, IL 628321233

    Phone: (618) 542-2146

    Fax: (618) 542-2154

    Type: Location

  • 101 N 16TH ST

    HERRIN, IL 629481750

    Phone: (618) 988-6034

    Fax: (618) 988-6479

    Type: Mailing

  • PO BOX 192

    DU QUOIN, IL 628320192

    Phone: (618) 542-2146

    Fax: (618) 542-2514

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $369.

Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: UCB, Inc. ($59).

Total Amount

$369

General + Research + Ownership

Payments

19

Total payment records

General Amount

$369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2008-08-21

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
I20080821000510IPodiatryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes245111$0
G0127Trimming of dystrophic nails, any number18978$0
99214Established patient office or other outpatient visit, 30-39 minutes15068$0
11720Removal of fingernails or toenails, 1-5 nails9948$0
11056Removal of noncancer thickened skin growth, 2-4 growths7135$0
View full utilization report →

Insurance plans in this area (ZIP 62832)

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Provider's Procedures

DAVID A DICKINSON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL73630X-ray of foot, minimum of 3 views313142

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: 9537076401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNC
Physician AssistantNC
Internal MedicineSC
Orthopedic SurgeryMO
-CA
Physical Therapist In Private PracticeMD
Physician AssistantNC
Internal MedicineTN
Nurse PractitionerAR
-CO

Reviews

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Frequently asked questions

What identifier follows DAVID A DICKINSON (DPM) across health systems?
The NPI 1346372687 uniquely identifies DAVID A DICKINSON (DPM) in U.S. healthcare data.
Is DAVID A DICKINSON (DPM)'s NPI status active today?
Active status means DAVID A DICKINSON (DPM)'s NPI record is not deactivated in the public file.
What services align with DAVID A DICKINSON (DPM)'s listing?
DAVID A DICKINSON (DPM)'s public classification highlights Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to DAVID A DICKINSON (DPM)?
The directory associates DAVID A DICKINSON (DPM) with Du Quoin, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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