Deactivated NPI 1316970148 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry W Dixon , MD

Surgery • Benton, AR

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Dixon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2006

NPI Deactivation Date May 01, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Dixon, MD was a registered Surgery practicing in Benton, AR. Throughout an active medical career spanning 18 years, Dr. Dixon provided care at the practice location at 3 MEDICAL PARK DR until profile deactivation on 2024-05-01.

Historical Medicare Part B clinical services included established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, destruction of polyp or growth of large bowel using a flexible endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3 Medical Park Dr
201

Benton, AR 720153728

Telephone 5017783361

Associated Practice Facility / Clinic

🏢 Ophthalmology Associates Of Benton, Pllc Facility NPI 1699774794

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Benton, AR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.5 Yrs

State Avg: 30.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Benton, AR (301 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$49.00	$33.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$775.00	$158.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	99	$52.18	$32.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	94	94	$775.00	$145.11
99213 Established patient office or other outpatient visit, typically 15 minutes	73	56	$91.71	$61.09
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	48	48	$675.00	$243.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	43	$425.00	$35.53
36415 Insertion of needle into vein for collection of blood sample	39	34	$32.25	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$200.00	$124.31
43250 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope	22	22	$625.00	$107.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$135.00	$91.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$125.00	$76.86
82565 Blood creatinine level	18	18	$84.50	$5.02
85018 Blood count, hemoglobin	13	11	$19.25	$2.32
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	12	12	$400.00	$34.81
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$550.00	$160.49
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$450.00	$168.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	163	139	$50.51	$33.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	113	112	$775.00	$171.42
99213 Established patient office or other outpatient visit, typically 15 minutes	69	56	$90.00	$62.14
36415 Insertion of needle into vein for collection of blood sample	49	40	$32.25	$2.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	42	$425.00	$27.55
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	40	39	$675.00	$247.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$200.00	$123.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$125.00	$77.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$135.00	$91.49
43250 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope	26	26	$625.00	$111.54
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	19	19	$400.00	$49.42
82565 Blood creatinine level	18	18	$84.50	$5.06
85018 Blood count, hemoglobin	18	16	$19.25	$2.24
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$550.00	$145.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	123	122	$775.00	$151.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	75	$49.00	$33.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	74	$82.83	$48.55
36415 Insertion of needle into vein for collection of blood sample	63	44	$32.25	$3.00
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	62	62	$675.00	$251.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	55	$425.00	$42.47
99213 Established patient office or other outpatient visit, typically 15 minutes	56	46	$139.11	$83.26
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$90.00	$63.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$200.00	$127.45
82565 Blood creatinine level	27	25	$84.50	$5.12
43250 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope	23	22	$625.00	$126.73
85018 Blood count, hemoglobin	21	11	$19.25	$2.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$172.50	$119.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$450.00	$157.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$213.24	$103.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$214.71	$154.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$125.00	$78.18
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	12	$120.50	$7.77
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	14	14	$400.00	$69.96
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$550.00	$158.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$135.00	$93.64
83690 Lipase (fat enzyme) level	11	11	$16.00	$6.89
82150 Amylase (enzyme) level	11	11	$49.75	$6.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	81	$77.19	$41.36
99213 Established patient office or other outpatient visit, typically 15 minutes	92	75	$112.12	$68.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	14	$90.00	$69.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	61	60	$775.00	$176.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	39	$425.00	$67.02
36415 Insertion of needle into vein for collection of blood sample	39	27	$32.25	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$155.16	$100.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$218.52	$150.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$158.65	$97.32
85018 Blood count, hemoglobin	26	15	$19.25	$2.36
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	25	25	$675.00	$262.12
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$550.00	$170.50
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	15	14	$400.00	$119.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$175.00	$131.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	101	$62.05	$39.45
99213 Established patient office or other outpatient visit, typically 15 minutes	91	77	$105.11	$66.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	89	89	$775.00	$153.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	71	68	$425.00	$55.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$210.71	$144.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	25	$90.00	$66.27
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	58	58	$675.00	$254.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$177.76	$98.12
36415 Insertion of needle into vein for collection of blood sample	38	25	$32.25	$2.94
85018 Blood count, hemoglobin	30	18	$19.25	$2.58
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	27	25	$400.00	$123.43
85014 Red blood cell concentration measurement	27	16	$29.25	$2.58
47562 Removal of gallbladder using an endoscope	26	26	$1500.00	$579.15
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$550.00	$178.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$450.00	$172.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$175.00	$117.77
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$90.00	$48.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.00	$121.97
82270 Stool analysis for blood to screen for colon tumors	13	13	$28.25	$4.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$49.00	$24.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$135.00	$74.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$136.36	$99.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	144	$49.00	$24.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	124	123	$775.00	$161.81
99213 Established patient office or other outpatient visit, typically 15 minutes	91	78	$90.00	$48.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	25	$90.00	$68.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$200.00	$121.30
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	64	64	$675.00	$258.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	57	$135.00	$74.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	53	$425.00	$67.66
36415 Insertion of needle into vein for collection of blood sample	31	23	$32.25	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$175.00	$129.17
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$550.00	$173.44
47562 Removal of gallbladder using an endoscope	19	19	$1500.00	$609.92
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$450.00	$167.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$200.00	$116.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$550.00	$177.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$125.00	$71.99
43250 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope	12	12	$625.00	$113.66
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$31.00	$9.66
49505 Repair of groin hernia (5 years or older)	11	11	$750.00	$450.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	124	$49.00	$37.80
99213 Established patient office or other outpatient visit, typically 15 minutes	128	101	$91.95	$62.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	29	$90.00	$68.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$203.03	$140.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	79	77	$775.00	$192.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	71	$135.00	$95.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	60	59	$425.00	$61.50
36415 Insertion of needle into vein for collection of blood sample	41	31	$32.25	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$175.00	$125.51
47562 Removal of gallbladder using an endoscope	33	33	$1500.00	$592.86
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$450.00	$175.76
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	29	29	$675.00	$253.73
45378 Diagnostic exam of large bowel using a flexible endoscope	21	20	$550.00	$168.45
85018 Blood count, hemoglobin	17	13	$19.25	$3.18
85014 Red blood cell concentration measurement	17	13	$29.25	$3.18
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	13	13	$75.00	$11.69
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$550.00	$176.15
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	13	13	$400.00	$140.71
49505 Repair of groin hernia (5 years or older)	12	12	$750.00	$477.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$125.00	$94.00

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AR E0173

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Samuel Taggart , MD

Family Medicine

NPI 1013098334

Doctor of Medicine (M.D.)

Dr. Mark Albey , MD

Family Medicine

NPI 1043340011

Doctor of Medicine (M.D.)

Rose Fetting , LCSW

Social Worker - Clinical

NPI 1073765657

Licensed Clinical Social Worker

Dr. James Cooper , MD

Family Medicine

NPI 1437284189

Doctor of Medicine (M.D.)

Dr. Annette Enderlin , MD

Ophthalmology

NPI 1457325417

Doctor of Medicine (M.D.)

Dr. Kirk Watson , MD

Family Medicine

NPI 1548398498

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated May 01, 2024

Record deactivated on May 01, 2024

✅

NPI Profile Active December 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2016

Registered at 3 MEDICAL PARK DR, 201, BENTON, AR 720153728 (Tel: 5017783361)

📍

Updated Business Mailing Address December 21, 2016

Registered at 5 MEDICAL PARK DR, STE 203, BENTON, AR 720153732 (Tel: 5016645860)

👤

Provider Name / Credentials Updated December 21, 2016

Recorded as JERRY DIXON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2016

Surgery (License #E0173 in AR)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jerry Dixon. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1316970148

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2006

Last Update: December 21, 2016

Deactivation Date: May 01, 2024

Update or Correct Profile

Mailing Address

5 Medical Park Dr, Ste 203

Benton, AR 720153732

Phone: 5016645860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.