Active NPI 1336132950 Individual Practitioner Female Practitioner

Dr. Patricia A Dickerson , MD

Dermatology • Centerville, OH

Professional Overview & Biography Verified Profile Summary

Dr. Patricia Dickerson, MD is a registered healthcare professional specializing in Dermatology in Centerville, OH. Practice services are available at 1299 E ALEX BELL RD under active NPI credentials.

Frequently performed procedures and clinical services include destruction of skin growth, removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1299 E Alex Bell Rd

Centerville, OH 454592658

Telephone 9374361117

Fax 9374369576

Associated Practice Facility / Clinic

🏢 Patricia A. Dickerson Md Facility NPI 1215041041

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Centerville, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 42.5 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Centerville, OH (528 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.4% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17000 Destruction of skin growth	19	18	$106.00	$48.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$324.00	$121.37
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$96.00	$89.70
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$593.00	$426.20
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$533.00	$397.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	116	22	$43.00	$5.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	38	$144.00	$106.70
17000 Destruction of skin growth	45	32	$106.00	$58.73
11102 Tangential biopsy of single skin lesion	28	27	$137.00	$93.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$56.00	$44.30
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$96.00	$73.53
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$324.00	$120.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$593.00	$421.92
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$533.00	$392.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	87	18	$43.00	$5.38
17000 Destruction of skin growth	36	27	$106.00	$51.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	27	$144.00	$102.38
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$94.89	$70.85
11102 Tangential biopsy of single skin lesion	23	22	$137.00	$85.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$56.00	$42.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$324.00	$125.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	159	30	$43.00	$4.79
17000 Destruction of skin growth	59	40	$106.00	$53.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	44	$144.00	$98.00
11100 Biopsy of single growth of skin and/or tissue	50	47	$137.00	$93.49
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$96.00	$65.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	24	$324.00	$115.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$56.00	$40.67
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	18	$593.00	$396.45
11101 Biopsy of each additional growth of skin and/or tissue	17	11	$45.00	$30.66
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$533.00	$354.45
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$56.00	$41.27
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$786.00	$443.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	274	50	$43.00	$5.34
17000 Destruction of skin growth	81	63	$106.00	$56.34
11100 Biopsy of single growth of skin and/or tissue	81	75	$137.00	$93.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	61	$144.00	$101.21
99213 Established patient office or other outpatient visit, typically 15 minutes	70	55	$96.00	$70.02
11101 Biopsy of each additional growth of skin and/or tissue	54	29	$45.00	$31.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	38	$56.00	$41.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	11	$6.26	$1.79
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	33	$324.00	$118.05
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	24	24	$533.00	$360.68
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	20	$593.00	$406.67
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	13	$786.00	$454.50
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	13	$189.00	$93.90

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OH 350554000

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0866648 (OH)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Amy Buschur , FNP

Nurse Practitioner

NPI 1265866362

Family Nurse Practitioner

Emily Monroe , PA-C

Physician Assistant

NPI 1750525473

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 05, 2012

Registered at 1299 E ALEX BELL RD, CENTERVILLE, OH 454592658 (Tel: 9374361117)

📍

Updated Business Mailing Address November 05, 2012

Registered at 1299 E ALEX BELL RD, CENTERVILLE, OH 454592658 (Tel: 9374361117)

👤

Provider Name / Credentials Updated November 05, 2012

Recorded as PATRICIA DICKERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2012

Dermatology (License #350554000 in OH)

🟢

Initial NPI Registration & Enumeration August 30, 2005

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: 1336132950

Entity Type:

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

Enumeration Date: August 30, 2005

Last Update: November 05, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1299 E Alex Bell Rd

Centerville, OH 454592658

Phone: 9374361117

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.