Active NPI 1487110474 Individual Practitioner Male Practitioner

Jonathan David Dickson , PA-C

Physician Assistant • Fayetteville, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Dickson, PA-C is a certified Physician Assistant practicing in Fayetteville, AR. With approximately 7 years of clinical experience since completing medical education in 2019, Jonathan Dickson delivers high-quality medical care to the local community at 1444 E STEARNS ST STE 11.

Jonathan Dickson is affiliated with Advanced Dermatology And Skin Cancer Center, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1444 E Stearns St Ste 11

Fayetteville, AR 727034969

Telephone 4797187546

Associated Practice Facility / Clinic

🏢 Advanced Dermatology & Skin Cancer Center, Llc Facility NPI 1245426162

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fayetteville, AR

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -4.8 yrs vs City Avg

City Avg: 11.8 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

56 Specialists

Practicing in Fayetteville, AR (601 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dickson (7 Years) 7 Yrs

Fayetteville Specialty Average (11.8 Years) 11.8 Yrs

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
17003 Destruction of precancer skin growth, 2-14 growths	706	152	$13.28	$5.11
99213 Established patient office or other outpatient visit, typically 15 minutes	355	286	$186.52	$71.52
17000 Destruction of skin growth	263	216	$136.01	$42.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	194	151	$115.00	$43.96
11102 Tangential biopsy of single skin lesion	121	108	$199.10	$73.16
17110 Destruction of up to 14 skin growths	107	97	$226.21	$86.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$227.93	$87.52
99202 New patient office or other outpatient visit, typically 20 minutes	74	74	$133.96	$56.49
11103 Biopsy of related skin growth, each additional growth	35	20	$100.03	$38.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	22	$358.34	$127.10
17004 Destruction of precancer skin growth, 15 or more growths	23	20	$333.26	$127.93
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	21	13	$889.89	$389.23
69100 Biopsy of ear	13	12	$190.09	$59.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	400	89	$13.45	$4.85
99213 Established patient office or other outpatient visit, typically 15 minutes	156	136	$185.52	$69.38
17000 Destruction of skin growth	134	121	$135.59	$38.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$229.84	$86.46
17110 Destruction of up to 14 skin growths	90	77	$227.70	$83.25
11102 Tangential biopsy of single skin lesion	66	66	$202.74	$69.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	41	$115.45	$43.41
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$130.32	$54.93
11103 Biopsy of related skin growth, each additional growth	30	20	$98.34	$38.11
17004 Destruction of precancer skin growth, 15 or more growths	16	15	$340.43	$128.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	76	44	$438.00	$86.51
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	55	47	$75.00	$15.11
32555 Aspiration of fluid from chest cavity using imaging guidance	38	37	$559.05	$101.00
76937 Ultrasonic guidance for blood vessel access	38	36	$57.00	$11.32
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	29	28	$1113.00	$210.94
77002 Fluoroscopic guidance for needle placement	22	22	$111.00	$22.55
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	21	20	$488.00	$68.67
62284 Injection of contrast for imaging of lower spinal canal	19	19	$345.00	$68.86
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	18	18	$360.00	$71.48
23350 Injection of dye for X-ray imaging of shoulder joint	14	14	$204.00	$40.93
20610 Aspiration and/or injection of fluid from large joint	12	12	$205.83	$38.30
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	11	11	$341.00	$68.41
43752 Insertion of nasal or oral stomach tube using fluoroscopic guidance	11	11	$164.00	$33.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	132	71	$437.61	$87.70
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	93	86	$75.00	$15.36
76937 Ultrasonic guidance for blood vessel access	75	72	$57.00	$11.51
32555 Aspiration of fluid from chest cavity using imaging guidance	58	54	$506.55	$96.01
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	47	45	$1113.00	$213.83
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	42	42	$488.00	$69.70
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	26	25	$50.00	$10.31
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	21	21	$360.00	$70.30
62284 Injection of contrast for imaging of lower spinal canal	20	20	$345.00	$70.43
77002 Fluoroscopic guidance for needle placement	19	18	$111.00	$22.94
62304 X-ray of lower spinal canal with review by radiologist	18	18	$485.00	$98.23
20610 Aspiration and/or injection of fluid from large joint	18	17	$190.00	$34.80
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	15	14	$341.00	$69.57

Medical Specialties & State Licenses

CMS Verified: 2023-05-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AR PA-1154

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA13777

Hospital & Practice Group Affiliations

Advanced Dermatology And Skin Cancer Center, Llc

701 Nw Mcnelly, Bentonville, AR 727129160

Phone: 4797187546

Advanced Dermatology And Skin Cancer Center, Llc

1444 E Stearns St, Fayetteville, AR 727034969

Phone: 4797187546

Advanced Dermatology And Skin Cancer Center, Llc

1444 E Stearns, Fayetteville, AR 727034969

Advanced Dermatology And Skin Cancer Center, Llc

1001 S 52nd St, Rogers, AR 727588641

Phone: 4797187546

Secondary Practice Locations

492 Foster Chapel Rd

Searcy, AR 721439605

Phone: 9035307986

627 Turtle Creek Dr

Tyler, TX 757011832

Phone: 9035932539

Practice Associates & Co-Workers

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

6 Associated Practitioners

Andrea Thompson , PA-C

Physician Assistant

NPI 1508861865

Physician Assistant (Certified)

Ryan Crowder , PA-C

Physician Assistant

NPI 1558784728

Physician Assistant (Certified)

Dr. Ryan Rich , MD

Dermatology

NPI 1578852455

Doctor of Medicine (M.D.)

Dr. Lance Henry , MD

Dermatology

NPI 1679682520

Doctor of Medicine (M.D.)

Dr. Linsey Lindley , MD, PhD

Dermatology

NPI 1912439720

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

William Ross , PA-C

Physician Assistant

NPI 1982172029

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location May 01, 2023

Registered at 1444 E STEARNS ST STE 11, FAYETTEVILLE, AR 727034969 (Tel: 4797187546)

📍

Updated Business Mailing Address May 01, 2023

Registered at 1444 E STEARNS ST STE 11, FAYETTEVILLE, AR 727034969 (Tel: 4797187546)

👤

Provider Name / Credentials Updated May 01, 2023

Recorded as JONATHAN DICKSON, PA-C

📍

Updated Business Mailing Address November 17, 2020

Registered at 816 W CANNON ST, FORT WORTH, TX 761043146 (Tel: 8173210404)

📍

Updated Practice Location September 03, 2020

Registered at 627 TURTLE CREEK DR, TYLER, TX 757011832 (Tel: 9035932539)

📍

Updated Business Mailing Address September 03, 2020

Registered at 2002 MAGNOLIA DR, TYLER, TX 757014534 (Tel: 9035309867)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2020

Physician Assistant (License #PA13777 in TX)

✅

NPI Profile Active February 14, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location February 14, 2019

Registered at 492 FOSTER CHAPEL RD, SEARCY, AR 721439605 (Tel: 9035307986)

📍

Updated Business Mailing Address February 14, 2019

Registered at 492 FOSTER CHAPEL RD, SEARCY, AR 721439605 (Tel: 9035307986)

👤

Provider Name / Credentials Updated February 14, 2019

Recorded as JONATHAN DICKSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2019

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration February 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487110474

Entity Type:

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

Enumeration Date: February 14, 2019

Last Update: May 01, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1444 E Stearns St Ste 11

Fayetteville, AR 727034969

Phone: 4797187546

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.