DR. STEPHEN L JR. DICKSON (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1720086242
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 THORACIC SURGERY in KY
Provider Addresses for DR. STEPHEN L JR. DICKSON (MD)
3 Audubon Plaza Dr Ste 1319
Louisville, KY 402171319
Phone: (502) 636-8004
Fax: (502) 636-8384
Type: Location
2500 Niles Rd Ste 6
Saint Joseph, MI 490853268
Phone: (269) 408-1660
Fax: (269) 408-1665
Type: Location
Lakeland Medical Center, 1234, Napier Avenue, Saint Joseph, Berrien County, Michigan, 49085, United States
SAINT JOSEPH, MI 490852112
Phone: (269) 983-8172
Fax: (699) 854-5352
Type: Mailing
Niles Road, Saint Joseph Charter Township, Berrien County, Michigan, 49085, United States
SAINT JOSEPH, MI 490853268
Phone: (269) 408-1660
Fax: (269) 408-1665
Type: Location
600 SW COLLEGE AVE
TOPEKA, KS 666061684
Phone: (785) 233-9643
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $2,446.
Total Amount is formed as General ($2,446) + Research ($0) + Ownership ($0) = $2,446.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Medtronic, Inc. ($2,243).
Total Amount
$2,446
General + Research + Ownership
Payments
16
Total payment records
General Amount
$2,446
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,243 |
| Edwards Lifesciences Corporation | $165 |
| Amgen Inc. | $19 |
| E.R. Squibb & Sons, L.L.C. | $19 |
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: 2024-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240823000101 | I | Thoracic Surgery | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 182 | 147 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 81 | 76 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 40 | 21 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 37 | 33 | $0 |
| 93978 | Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 36 | 34 | $0 |
Insurance plans in this area (ZIP 40217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | KS | |
| - | KS | |
| - | MO | |
| Nurse Practitioner | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| - | IL | |
| - | OH |
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