DR. DAVID W DICKERSON (MD) – Undersea and Hyperbaric Medicine (Emergency Medicine) Physician, NPI 1992707558

DR. DAVID W DICKERSON (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 112757 (MO). The NPI Number for DR. DAVID W DICKERSON (MD) is 1992707558

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID W DICKERSON (MD)
NPI
1992707558
Phone
(913) 234-1350
Address
PO BOX 414965
Enumeration Date
12 August 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9315415000
Graduation Year
1993 (33 years ago)
PAC ID
2860441441
Group Practice PAC ID
4385009695
Professional Enrollment ID
I20051101001180
Address ID
KS662152306OV10500RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for DR. DAVID W DICKERSON (MD)

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641414965

    Phone: (913) 234-1350

    Fax: (913) 234-1108

    Type: Mailing

  • 201 W R D MIZE RD

    BLUE SPRINGS, MO 640142518

    Phone: (816) 228-5900

    Type: Location

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 $728.

Total Amount is formed as General ($728) + Research ($0) + Ownership ($0) = $728.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Abbott Laboratories ($728).

Total Amount

$728

General + Research + Ownership

Payments

2

Total payment records

General Amount

$728

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$728
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: 2005-11-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050121000822IEmergency MedicineMOTBD
I20051101001180IEmergency MedicineKSTBD

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
99284Emergency department visit with moderate level of medical decision making8986$0
99285Emergency department visit with high level of medical decision making8988$0
99291Critical care, first 30-74 minutes5655$0
99283Emergency department visit with low level of medical decision making3636$0
View full utilization report →

Insurance plans in this area (ZIP 64141)

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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: 4385009695View full group profile
NameSpecialtyState
Emergency MedicineKS
Emergency MedicineNY
Emergency MedicineIL
Nurse PractitionerKS
Emergency MedicineNC
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineKS
Emergency MedicineIA
Emergency MedicineKS

Reviews

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Frequently asked questions

Is DR. DAVID W DICKERSON (MD) listed with a National Provider Identifier?
Yes — DR. DAVID W DICKERSON (MD) has NPI 1992707558 on file in the registry.
Active or inactive — what applies to DR. DAVID W DICKERSON (MD)?
You should see DR. DAVID W DICKERSON (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. DAVID W DICKERSON (MD)?
DR. DAVID W DICKERSON (MD)'s specialty line reads Undersea and Hyperbaric Medicine (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID W DICKERSON (MD)?
Directory geography for DR. DAVID W DICKERSON (MD) centers on Kansas City, Missouri.
Does DR. DAVID W DICKERSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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