MR. TIMOTHY DICKSON (M.D.) – Internal Medicine Physician, NPI 1366448896

MR. TIMOTHY DICKSON (M.D.) is a healthcare provider. based in Lake orion, Michigan. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301059494 (MI). The NPI Number for MR. TIMOTHY DICKSON (M.D.) is 1366448896

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY DICKSON (M.D.)
NPI
1366448896
Phone
(248) 693-5700
Address
1375 S LAPEER RD
Enumeration Date
21 June 2005
Last Update Date
3 October 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2486935700
Graduation Year
1992 (34 years ago)
PAC ID
4486739133
Group Practice PAC ID
7012316664
Professional Enrollment ID
I20080305000687
Address ID
MI483601421LA1375XRDXX408
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for MR. TIMOTHY DICKSON (M.D.)

  • 1375 S LAPEER RD

    STE 210

    LAKE ORION, MI 483601421

    Phone: (248) 693-5700

    Fax: (248) 693-5715

    Mailing address matches the actual address.

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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Novo Nordisk Inc ($16).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

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: 2008-03-05

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
I20080305000687IInternal 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
99214Established patient office or other outpatient visit, 30-39 minutes19098$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9797$0
99213Established patient office or other outpatient visit, 20-29 minutes8971$0
G0008Administration of influenza virus vaccine4241$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4011$0
View full utilization report →

Insurance plans in this area (ZIP 48360)

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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: 7012316664View full group profile
NameSpecialtyState
Internal MedicineMI
Registered Dietitian Or Nutrition ProfessionalMI
Physician AssistantMI
Internal MedicineMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
Family PracticeMI
Family PracticeMI
Internal Medicine, Pediatric MedicineMI

Reviews

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Frequently asked questions

What is the standard ID for MR. TIMOTHY DICKSON (M.D.) in the U.S.?
In the U.S., MR. TIMOTHY DICKSON (M.D.) is identified by NPI 1366448896.
Is MR. TIMOTHY DICKSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MR. TIMOTHY DICKSON (M.D.) as active.
What does the directory say MR. TIMOTHY DICKSON (M.D.) does?
Insurance directories may phrase it differently, but here MR. TIMOTHY DICKSON (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MR. TIMOTHY DICKSON (M.D.) in Lake Orion, Michigan?
For routing, start with Lake Orion, Michigan for MR. TIMOTHY DICKSON (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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