MR. JAMES WILEY III DICKERSON (MD) – Psychiatry Physician, NPI 1023004512

MR. JAMES WILEY III DICKERSON (MD) is a healthcare provider. based in Eugene, Oregon. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. MD150778 (OR). The NPI Number for MR. JAMES WILEY III DICKERSON (MD) is 1023004512

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES WILEY III DICKERSON (MD)
NPI
1023004512
Phone
(541) 685-1794
Address
1200 HILYARD ST
Enumeration Date
21 September 2005
Last Update Date
31 January 2025

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
4582056011
Graduation Year
1989 (37 years ago)
PAC ID
9830130996
Group Practice PAC ID
9032023270
Professional Enrollment ID
I20100420000970
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MR. JAMES WILEY III DICKERSON (MD)

  • 1200, Hilyard Street, Eugene, Lane County, Oregon, 97401, United States

    SUITE S-460

    EUGENE, OR 974018122

    Phone: (541) 685-1794

    Type: Location

  • PO BOX 24410

    EUGENE, OR 974020451

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-20

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
I20241120002801IPsychiatryWATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes22438$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8424$0
99239Hospital discharge day management, more than 30 minutes4533$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2521$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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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: 9032023270View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MR. JAMES WILEY III DICKERSON (MD) for billing?
Administrative and clinical systems typically use NPI 1023004512 for MR. JAMES WILEY III DICKERSON (MD).
Is MR. JAMES WILEY III DICKERSON (MD)'s NPI status active today?
Active status means MR. JAMES WILEY III DICKERSON (MD)'s NPI record is not deactivated in the public file.
What type of care does MR. JAMES WILEY III DICKERSON (MD) provide?
MR. JAMES WILEY III DICKERSON (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JAMES WILEY III DICKERSON (MD)?
MR. JAMES WILEY III DICKERSON (MD) shows a connection to Eugene, Oregon in registry-derived data.
Who maintains MR. JAMES WILEY III DICKERSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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