Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699364398 Individual Practitioner Male Practitioner

Kenton Michael Dickison , PA-C

Physician Assistant • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenton Dickison, PA-C is a certified Physician Assistant practicing in Dayton, OH. With approximately 6 years of clinical experience since completing medical education in 2020, Kenton Dickison delivers high-quality medical care to the local community at 4100 W 3RD ST.

Kenton Dickison is affiliated with Premier Health Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, anticoagulant management of patient taking warfarin, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4100 W 3rd St

Dayton, OH 454289000

Telephone 9372686511
Associated Practice Facility / Clinic
🏢 Dayton Vamc Facility NPI 1518916733

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dayton, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -2.7 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
250 Specialists

Practicing in Dayton, OH (5376 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dickison (6 Years) 6 Yrs
Dayton Specialty Average (8.7 Years) 8.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes
249 235 $134.00 $72.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
234 207 $190.00 $100.84
93793 Anticoagulant management of patient taking warfarin
20 11 $29.00 $9.07

Medical Specialties & State Licenses

CMS Verified: 2026-04-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.006825RX

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
50.006825RX (OH)

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

1530 Needmore Rd, Dayton, OH 454143980

Phone: 9372774274

Premier Health Specialists Inc

450 N Hyatt St, Tipp City, OH 453711433

Phone: 9378324773

Premier Health Specialists Inc

9000 N Main St, Englewood, OH 454151184

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amy Mcmullen

Radiologic Technologist - Nuclear Medicine Technology

NPI 1003031410
Fawnette Brown

Marriage & Family Therapist

NPI 1003051913
NPI 1003605072

Physical Therapist, Doctor of Physical Therapy

Kathleen Rowell , PA-C

Physician Assistant - Medical

NPI 1003834961

Physician Assistant (Certified)

Louis Long , CTRS

Recreation Therapist

NPI 1003855362
NPI 1003902545

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

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 15, 2026

Registered at 4100 W 3RD ST, DAYTON, OH 454289000 (Tel: 9372686511)

📍
Updated Business Mailing Address April 15, 2026

Registered at 4100 W 3RD ST, DAYTON, OH 454289000 (Tel: 9372686511)

NPI Profile Active January 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2021

Registered at 425 HAMILTON ST, WEST MILTON, OH 453831634 (Tel: 6145814971)

📍
Updated Business Mailing Address January 16, 2021

Registered at 425 HAMILTON ST, WEST MILTON, OH 453831634 (Tel: 6145814971)

👤
Provider Name / Credentials Updated January 16, 2021

Recorded as KENTON DICKISON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2021

Physician Assistant (License #50.006825RX in OH)

🟢
Initial NPI Registration & Enumeration January 16, 2021

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 Kenton Dickison. Be the first to share your experience!

Sign in to leave a review for Kenton Dickison

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

NPI Administrative Meta

NPI Number: 1699364398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2021
Last Update: April 15, 2026
Sole Proprietor: Yes

Mailing Address

4100 W 3rd St

Dayton, OH 454289000

Phone: 9372686511

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.