JERRY D DICKESS – Physician Assistant, NPI 1033697990
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for JERRY D DICKESS
PO BOX 2379
ASHLAND, KY 411052379
Phone: (606) 408-5864
Fax: (606) 408-6499
Type: Mailing
2001 Scioto Trl Ste 200
Portsmouth, OH 456622845
Phone: (740) 353-8100
Fax: (740) 353-8908
Type: Location
23rd Street, Geigers Crossing, Ashland, Boyd County, Kentucky, 41101, United States
ASHLAND, KY 411012886
Phone: (064) 085-8646
Fax: (606) 408-6499
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($39).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $39 |
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: 2019-06-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180928000867 | I | Physician Assistant | OH | TBD |
| I20190607000236 | I | Physician Assistant | KY | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 120 | 113 | $0 |
Insurance plans in this area (ZIP 41105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Family Practice, Geriatric Medicine | KY | |
| Internal Medicine | NY | |
| Emergency Medicine, Internal Medicine | MS | |
| - | MO | |
| Family Practice, Hospitalist, Family Practice | FL | |
| Internal Medicine | TN | |
| Internal Medicine | SC | |
| Internal Medicine | NC | |
| - | TN |
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