DR. JASON LEE DICKHERBER (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1093164428
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
802 ORTHOPEDIC SURGERY in MO
Provider Addresses for DR. JASON LEE DICKHERBER (M.D.)
3050 E River Bluff Blvd
Ozark, MO 657218807
Phone: (417) 820-5610
Type: Location
2 Dudley St Ste 200
Providence, RI 029053248
Phone: (401) 457-2168
Type: Location
1005 E Cheves St
Florence, SC 295062707
Phone: (843) 777-7900
Type: Location
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 293034219
Phone: (864) 582-6396
Type: Location
Harvester Drive, Burr Ridge, DuPage County, Illinois, 60527, United States
SUITE 110
BURR RIDGE, IL 605277594
Phone: (773) 702-1150
Type: Mailing
Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States
M/C 3079
CHICAGO, IL 606371447
Phone: (773) 834-2858
Type: Location
3050 E RIVER BLUFF BLVD
OZARK, MO 657218807
Phone: (417) 820-5610
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $2,519.
Total Amount is formed as General ($2,519) + Research ($0) + Ownership ($0) = $2,519.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Peerless Surgical Inc. ($1,396).
Total Amount
$2,519
General + Research + Ownership
Payments
20
Total payment records
General Amount
$2,519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Peerless Surgical Inc. | $1,396 |
| ACUMED LLC | $620 |
| AXOGEN | $269 |
| Arthrex, Inc. | $138 |
| Alafair Biosciences, Inc. | $95 |
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: 2024-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221025000176 | I | Orthopedic Surgery | MO | TBD |
| I20240805002364 | I | Orthopedic Surgery | SC | 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 | 127 | 78 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 83 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 49 | 49 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 48 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 41 | $0 |
Insurance plans in this area (ZIP 65721)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | SC | |
| N E U R O L O G Y | SC | |
| Orthopedic Surgery, Sports Medicine | GA | |
| Physician Assistant | SC | |
| Physician Assistant | SC | |
| Orthopedic Surgery | VA | |
| Nurse Practitioner | SC | |
| - | SC | |
| A N E S T H E S I O L O G Y | SC | |
| Nurse Practitioner | SC |
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