DR. CLARK BART DICKSON (M.D.) – Otolaryngology Physician, NPI 1770560427
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
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Provider Addresses for DR. CLARK BART DICKSON (M.D.)
Telegraph Road, Southfield, Oakland County, Michigan, 48034, United States
SUITE 500
SOUTHFIELD, MI 480341331
Phone: (248) 569-5985
Fax: (248) 569-3704
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 37 Open Payments records for all available years, with a total value of $954.
Total Amount is formed as General ($954) + Research ($0) + Ownership ($0) = $954.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($539).
Total Amount
$954
General + Research + Ownership
Payments
37
Total payment records
General Amount
$954
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $539 |
| Medtronic, Inc. | $185 |
| Sanara MedTech Inc. | $128 |
| Regeneron Healthcare Solutions, Inc. | $65 |
| Merck Sharp & Dohme LLC | $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: 2007-06-11
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 |
|---|---|---|---|---|
| I20070611000021 | I | Otolaryngology | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 548 | 409 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 284 | 238 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 214 | 204 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 195 | 195 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 185 | 141 | $0 |
Insurance plans in this area (ZIP 48034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | MI | 92540 | Observation, testing, and recording of abnormal eye movement | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | MI | |
| Qualified Audiologist | MI | |
| Qualified Audiologist | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Qualified Audiologist | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Qualified Audiologist | MI | |
| Qualified Audiologist | MI |
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