DR. JAMES DICKINSON (M.D.) – Vascular & Interventional Radiology Physician, NPI 1104192541

DR. JAMES DICKINSON (M.D.) is a healthcare provider. based in Sartell, Minnesota. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 60421 (MN). The NPI Number for DR. JAMES DICKINSON (M.D.) is 1104192541

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES DICKINSON (M.D.)
NPI
1104192541
Phone
(320) 257-5595
Address
1990 CONNECTICUT AVE S
Enumeration Date
30 March 2012
Last Update Date
11 September 2018

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
2186317495
Graduation Year
2012 (14 years ago)
PAC ID
5193020097
Group Practice PAC ID
2961395272
Professional Enrollment ID
I20180716000629
Address ID
MN564821264WA415XXNXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

178 INTERVENTIONAL RADIOLOGY in MN

Provider Addresses for DR. JAMES DICKINSON (M.D.)

  • 1990 CONNECTICUT AVE S

    SARTELL, MN 563772554

    Phone: (320) 257-5595

    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 7 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Boston Scientific Corporation ($65).

Total Amount

$150

General + Research + Ownership

Payments

7

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

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: 2018-07-16

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
I20180716000629IInterventional RadiologyMNTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml96414$0
71045X-ray of chest, 1 view509459$0
71046X-ray of chest, 2 views392378$0
70450Ct scan head or brain without contrast187179$0
74177Ct scan of abdomen and pelvis with contrast178172$0
View full utilization report →

Insurance plans in this area (ZIP 56377)

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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: 2961395272View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
-MN
Clinical Social WorkerMN
-MN
U R O L O G YMA
Emergency MedicineMN
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN

Reviews

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Frequently asked questions

Can I cross-check DR. JAMES DICKINSON (M.D.) using NPI 1104192541?
NPI 1104192541 belongs to DR. JAMES DICKINSON (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. JAMES DICKINSON (M.D.)?
You should see DR. JAMES DICKINSON (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JAMES DICKINSON (M.D.)?
DR. JAMES DICKINSON (M.D.)'s record emphasizes Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JAMES DICKINSON (M.D.)?
Travel planning: use Sartell, Minnesota as the reference point for DR. JAMES DICKINSON (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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