DR. MARK EDWARD DICKSON (MD) – Surgery Physician, NPI 1134108715

DR. MARK EDWARD DICKSON (MD) is a healthcare provider. based in Sherman, Texas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. H6165 (TX). The NPI Number for DR. MARK EDWARD DICKSON (MD) is 1134108715

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK EDWARD DICKSON (MD)
NPI
1134108715
Phone
(903) 957-0016
Address
3305 N CALAIS ST
Enumeration Date
12 January 2006
Last Update Date
9 May 2012

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
5802233216
Graduation Year
1988 (38 years ago)
PAC ID
9739187170
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20061120000426
Address ID
OK734015762AR731XXNWAV301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,646 GENERAL SURGERY in TX

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Provider Addresses for DR. MARK EDWARD DICKSON (MD)

  • 3305, North Calais Street, Sherden Terrace, Sherman, Grayson County, Texas, 75090, United States

    SUITE # 100

    SHERMAN, TX 750903110

    Phone: (903) 957-0016

    Fax: (903) 957-0038

    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: 2006-11-20

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
I20061120000426IGeneral SurgeryOKTBD

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

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75090)

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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: 1153468921View full group profile

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Frequently asked questions

Is there an official ID for DR. MARK EDWARD DICKSON (MD) in U.S. healthcare records?
The official identifier for DR. MARK EDWARD DICKSON (MD) is NPI 1134108715.
Is DR. MARK EDWARD DICKSON (MD) shown as active in public data?
Registry records indicate DR. MARK EDWARD DICKSON (MD) maintains an active NPI.
What expertise is attributed to DR. MARK EDWARD DICKSON (MD)?
DR. MARK EDWARD DICKSON (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK EDWARD DICKSON (MD)?
Directory geography for DR. MARK EDWARD DICKSON (MD) centers on Sherman, Texas.
When was this NPI issued?
Enumeration for DR. MARK EDWARD DICKSON (MD) is noted as January 12, 2006 where the registry provides it.