HOLLY A DICKSON (MD) – Obstetrics & Gynecology Physician, NPI 1235145715
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 OBSTETRICS/GYNECOLOGY in WA
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Provider Addresses for HOLLY A DICKSON (MD)
200, Watson Street North, Enumclaw, King County, Washington, 98022, United States
ENUMCLAW, WA 980223948
Phone: (360) 367-2970
Fax: (360) 998-3241
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 55 Open Payments records for all available years, with a total value of $974.
Total Amount is formed as General ($974) + Research ($0) + Ownership ($0) = $974.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($274).
Total Amount
$974
General + Research + Ownership
Payments
55
Total payment records
General Amount
$974
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 |
|---|---|
| Astellas Pharma US Inc | $274 |
| MAYNE PHARMA COMMERCIAL LLC | $219 |
| ABBVIE INC. | $176 |
| Hologic Sales and Service, LLC | $153 |
| Boston Scientific Corporation | $55 |
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: 2020-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100603000990 | I | Obstetrics/Gynecology | WA | TBD |
| I20201001000343 | I | Obstetrics/Gynecology | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA |
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