MR. JEFFREY W DICKERSON (MD) – Internal Medicine Physician, NPI 1346317575

MR. JEFFREY W DICKERSON (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25880 (KY). The NPI Number for MR. JEFFREY W DICKERSON (MD) is 1346317575

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY W DICKERSON (MD)
NPI
1346317575
Phone
(859) 971-4695
Address
4071 TATES CREEK CENTRE DR
Enumeration Date
30 November 2006
Last Update Date
3 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
6067593585
Graduation Year
1987 (39 years ago)
PAC ID
9537060827
Group Practice PAC ID
9032276274
Professional Enrollment ID
I20040128000019
Address ID
KY410568750MA989XXDRXX400

Contacts

Secure Messaging
jdickerson22887@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for MR. JEFFREY W DICKERSON (MD)

  • 4071, Tates Creek Centre Drive, Jonestown, Lexington, Fayette County, Kentucky, 40517, United States

    STE 202

    LEXINGTON, KY 405173094

    Phone: (859) 971-4695

    Fax: (859) 971-4604

    Type: Mailing

  • Medical Park Drive, Maysville, Mason County, Kentucky, United States

    STE 202

    MAYSVILLE, KY 41056

    Phone: (606) 759-8000

    Fax: (606) 759-0461

    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 $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: GENZYME CORPORATION ($20).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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: 2004-01-28

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
I20040128000019IInternal MedicineKYTBD

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 minutes270123$0
99213Established patient office or other outpatient visit, 20-29 minutes10087$0
94060Test to measure expiratory airflow and volume changes before and after medication administration4342$0
95806Sleep study including heart rate, breathing, airflow, and effort2525$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 40517)

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Provider's Procedures

MR. JEFFREY W DICKERSON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEKY95806Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort1414
PULMONARY DISEASEKY95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube1717

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: 9032276274View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY
Nurse PractitionerKY
-KY
Internal Medicine, Pediatric MedicineKY
Nurse PractitionerTN
Physician AssistantKY
O T O L A R Y N G O L O G YOH
-KY
P O D I A T R YPA

Reviews

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Frequently asked questions

Can I use this page to confirm MR. JEFFREY W DICKERSON (MD)'s NPI?
Yes. MR. JEFFREY W DICKERSON (MD) is listed with NPI 1346317575 in the public NPI dataset.
Is MR. JEFFREY W DICKERSON (MD) listed as active for patients and plans?
The listing shows MR. JEFFREY W DICKERSON (MD) as active in the NPI system.
What taxonomy line describes MR. JEFFREY W DICKERSON (MD)?
For research purposes, treat MR. JEFFREY W DICKERSON (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. JEFFREY W DICKERSON (MD) based?
MR. JEFFREY W DICKERSON (MD) is tied to Lexington, Kentucky in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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