LANCE M DICKER (MD) – Nephrology Physician, NPI 1902022817

LANCE M DICKER (MD) is a healthcare provider. based in Salem, Oregon. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. MD27291 (OR). The NPI Number for LANCE M DICKER (MD) is 1902022817

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
LANCE M DICKER (MD)
NPI
1902022817
Phone
(503) 561-8565
Address
875 OAK ST SE
Enumeration Date
18 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
5035118565
Graduation Year
2002 (24 years ago)
PAC ID
8820198849
Group Practice PAC ID
0840283511
Professional Enrollment ID
I20070705000188
Address ID
OR973013998SA875XXSEXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

Provider Addresses for LANCE M DICKER (MD)

  • 875 OAK ST SE

    STE 5070

    SALEM, OR 973013975

    Phone: (503) 561-8565

    Type: Location

  • 875 OAK ST SE STE 5070

    SALEM, OR 973013975

    Phone: (503) 561-8565

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $618.

Total Amount is formed as General ($618) + Research ($0) + Ownership ($0) = $618.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Baxter Healthcare ($125).

Total Amount

$618

General + Research + Ownership

Payments

26

Total payment records

General Amount

$618

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2007-07-05

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
I20070705000188INephrologyORTBD

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
90960Dialysis services, 4 or more physician visits per month (20 years or older)12921$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10952$0
90935Hemodialysis procedure with physician evaluation9353$0
99214Established patient office or other outpatient visit, 30-39 minutes8150$0
99215Established patient office or other outpatient visit, 40-54 minutes4024$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

LANCE M DICKER (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYOR90935Hemodialysis procedure with one physician evaluation22089
NEPHROLOGYOR90966Home dialysis services per month, patient 20 years of age or older11011

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: 0840283511View full group profile
NameSpecialtyState
Internal Medicine, NephrologyOR
N E P H R O L O G YNY
Nephrology, Internal MedicineOR
Physician AssistantOR
-OR
N E P H R O L O G YOR
N E P H R O L O G YOR
Nurse PractitionerSD
N E P H R O L O G YOR
N E P H R O L O G YNY

Reviews

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Frequently asked questions

Can I verify LANCE M DICKER (MD) with an NPI only?
You can start verification with NPI 1902022817 for LANCE M DICKER (MD), then check state licensing separately.
Is LANCE M DICKER (MD) listed as active for patients and plans?
The listing shows LANCE M DICKER (MD) as active in the NPI system.
What is LANCE M DICKER (MD)'s primary classification?
Nephrology Physician is the headline specialty for LANCE M DICKER (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect LANCE M DICKER (MD) on a map?
Expect Salem, Oregon as a primary anchor for LANCE M DICKER (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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