EDWARD T DICKINSON (MD) – Emergency Medicine Physician, NPI 1003855529

EDWARD T DICKINSON (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD063589L (PA). The NPI Number for EDWARD T DICKINSON (MD) is 1003855529

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD T DICKINSON (MD)
NPI
1003855529
Phone
(215) 662-6698
Address
3400 SPRUCE STREET
Enumeration Date
6 June 2006
Last Update Date
24 October 2019

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
2156626698
Graduation Year
1989 (37 years ago)
PAC ID
4880637131
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20050607001007
Address ID
PA191044238PH3400XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

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Provider Addresses for EDWARD T DICKINSON (MD)

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    GROUND SILVERSTEIN BLDG

    PHILADELPHIA, PA 19104

    Phone: (215) 662-6698

    Mailing address matches the actual address.

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: 2005-06-07

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
I20050607001007IEmergency MedicinePATBD

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
99285Emergency department visit with high level of medical decision making8281$0
99284Emergency department visit with moderate level of medical decision making2626$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

Can I verify EDWARD T DICKINSON (MD) with an NPI only?
You can start verification with NPI 1003855529 for EDWARD T DICKINSON (MD), then check state licensing separately.
Does CMS list EDWARD T DICKINSON (MD) as active?
Yes — EDWARD T DICKINSON (MD) is active in the NPI listing used on this page.
What taxonomy line describes EDWARD T DICKINSON (MD)?
For research purposes, treat EDWARD T DICKINSON (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is EDWARD T DICKINSON (MD) based?
EDWARD T DICKINSON (MD) is tied to Philadelphia, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is the information about EDWARD T DICKINSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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