JASON BRENT DICKERSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1528039377
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
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Provider Addresses for JASON BRENT DICKERSON (DPM)
6360, 3000 East, Cottonwood Heights, Salt Lake County, Utah, 84121, United States
STE 210
SALT LAKE CITY, UT 841216972
Phone: (435) 615-8822
Fax: (435) 615-8823
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)
CMS reports 33 Open Payments records for all available years, with a total value of $1,140.
Total Amount is formed as General ($1,140) + Research ($0) + Ownership ($0) = $1,140.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: TriMed, Inc. ($635).
Total Amount
$1,140
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriMed, Inc. | $635 |
| Stryker Corporation | $164 |
| Linvatec Corporation | $98 |
| DePuy Synthes Sales Inc. | $42 |
| Bioventus LLC | $34 |
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: 2003-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031122000045 | I | Podiatry | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 898 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 618 | 215 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 317 | 100 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 150 | 150 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 102 | 74 | $0 |
Insurance plans in this area (ZIP 84121)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | UT | 73630 | X-ray of foot, minimum of 3 views | 127 | 75 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | UT | |
| Orthopedic Surgery | NC |
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