DON R DICKERSON (M.D.) – Radiation Oncology Physician, NPI 1194825935

DON R DICKERSON (M.D.) is a healthcare provider. based in Cheyenne, Wyoming. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 6812A (WY). The NPI Number for DON R DICKERSON (M.D.) is 1194825935

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DON R DICKERSON (M.D.)
NPI
1194825935
Phone
(307) 633-7823
Address
214 E 23rd St
Enumeration Date
22 September 2006
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3073528125
Graduation Year
1970 (56 years ago)
PAC ID
0749261006
Group Practice PAC ID
0244124550
Professional Enrollment ID
I20040525000382
Address ID
WY829015863RO1180XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

15 RADIATION ONCOLOGY in WY

Provider Addresses for DON R DICKERSON (M.D.)

  • 214 E 23rd St

    Cheyenne, WY 820013748

    Phone: (307) 633-7823

    Fax: (307) 633-7818

    Type: Location

  • Cheyenne Regional Medical Center, 214, East 23rd Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820013748

    Phone: (307) 633-7823

    Fax: (307) 633-7818

    Type: Location

  • 1920, Evans Avenue, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820013716

    Phone: (307) 637-5339

    Fax: (307) 637-4525

    Type: Mailing

  • 803 W MARKET ST STE 100

    LIMA, OH 458052796

    Phone: (419) 996-5063

    Fax: (419) 996-5502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-05-08 • Largest payer in this snapshot: Janssen Biotech, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$20
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: 2016-02-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040525000382IRadiation OncologyWYTBD
I20160201002373IRadiation OncologyMTTBD

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.

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

Insurance plans in this area (ZIP 82001)

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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: 0244124550View full group profile
NameSpecialtyState
Orthopedic SurgeryWY
General SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YWY
Family PracticeWY
Internal MedicineWY
Internal Medicine, HospitalistNY
O T O L A R Y N G O L O G YWY
Family PracticeWY
Obstetrics/Gynecology, Family PracticeMO
Family PracticeWY

Reviews

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Frequently asked questions

What number should I use to identify DON R DICKERSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1194825935 for DON R DICKERSON (M.D.).
Quick check: is DON R DICKERSON (M.D.) active?
Public NPPES data shows DON R DICKERSON (M.D.) with an active NPI status right now.
What services align with DON R DICKERSON (M.D.)'s listing?
DON R DICKERSON (M.D.)'s public classification highlights Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DON R DICKERSON (M.D.)?
DON R DICKERSON (M.D.) is associated with Cheyenne, Wyoming in the same public data insurers reference.
Can I export DON R DICKERSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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