KIRSTEN DICKINSON (MD) – Dermatology Physician, NPI 1366893752

KIRSTEN DICKINSON (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials MD. They hold a License No. 4301504690 (MI). The NPI Number for KIRSTEN DICKINSON (MD) is 1366893752

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIRSTEN DICKINSON (MD)
NPI
1366893752
Phone
(216) 444-2200
Address
CLEVELAND CLINIC 9500 EUCLIN AVE
Enumeration Date
27 June 2016
Last Update Date
21 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5172033000
Graduation Year
2016 (10 years ago)
PAC ID
1153614334
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20210701002242
Address ID
MI488236381EA2601XRDXX301

Contacts

Secure Messaging
Kirsten.Dickinson@forefrontdermatology.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:9State licenses:4Other namesUpdated within 12 months

607 DERMATOLOGY in OH

Provider Addresses for KIRSTEN DICKINSON (MD)

  • CLEVELAND CLINIC 9500 EUCLIN AVE

    CLEVELAND, OH 441951009

    Phone: (216) 444-2200

    Type: Mailing

  • 42452 Hayes Rd Ste 3

    Clinton Township, MI 480386771

    Phone: (586) 263-3130

    Fax: (586) 263-5183

    Type: Location

  • 1602 Military St

    Port Huron, MI 480605933

    Phone: (810) 982-9527

    Fax: (810) 982-1663

    Type: Location

  • 500 Main St Ste 113

    Ames, IA 500106083

    Phone: (515) 232-3006

    Fax: (515) 232-3009

    Type: Location

  • 204 N 4th Ave E

    Newton, IA 502083135

    Phone: (515) 224-7088

    Fax: (515) 224-9228

    Type: Location

  • 2785 N Ankeny Blvd Ste 24

    Ankeny, IA 500234705

    Phone: (515) 964-5503

    Fax: (515) 232-3009

    Type: Location

  • 2601 COOLIDGE RD STE 200

    EAST LANSING, MI 488236381

    Phone: (517) 203-3000

    Fax: (517) 203-3003

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 12327 STRATFORD DR

    CLIVE, IA 503258148

    Phone: (515) 224-7088

    Fax: (515) 224-9228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $2,251.

Total Amount is formed as General ($2,251) + Research ($0) + Ownership ($0) = $2,251.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($378).

Total Amount

$2,251

General + Research + Ownership

Payments

117

Total payment records

General Amount

$2,251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2021-07-01

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
I20190730000250IDermatologyIATBD
I20210701002242IDermatologyMITBD

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
17003Destruction of precancer skin growth, 2-14 growths38661$0
99213Established patient office or other outpatient visit, 20-29 minutes182148$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks180145$0
17000Destruction of precancer skin growth, 1 growth11186$0
99214Established patient office or other outpatient visit, 30-39 minutes9171$0
View full utilization report →

Insurance plans in this area (ZIP 44195)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Can I verify KIRSTEN DICKINSON (MD) with an NPI only?
You can start verification with NPI 1366893752 for KIRSTEN DICKINSON (MD), then check state licensing separately.
Is KIRSTEN DICKINSON (MD) still practicing?
KIRSTEN DICKINSON (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes KIRSTEN DICKINSON (MD)?
For research purposes, treat KIRSTEN DICKINSON (MD) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KIRSTEN DICKINSON (MD) on a map?
Expect Cleveland, Ohio as a primary anchor for KIRSTEN DICKINSON (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
10 practice locations appear in the available data.

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