Active NPI 1255314423 Individual Practitioner Male Practitioner

Dr. Timothy Dale Dickinson , MD

Anesthesiology • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Dickinson, MD is a certified Anesthesiology practicing in Edgewood, KY. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Dickinson delivers high-quality medical care to the local community at 1 MEDICAL VILLAGE DR.

Dr. Dickinson is affiliated with Anesthesia Group Practice Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for lens surgery, insertion of non-tunneled central venous tube for infusion (5 years or older), ultrasound of heart blood flow, valves and chambers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8593417246

Fax 8593417867

Associated Practice Facility / Clinic

🏢 Independent Anesthesiologists Psc Facility NPI 1295716850

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Edgewood, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +8.7 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

34 Specialists

Practicing in Edgewood, KY (662 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dickinson (34 Years) 34 Yrs

Edgewood Specialty Average (25.3 Years) 25.3 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
00142 Anesthesia for lens surgery	35	35	$383.50	$60.51
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	27	27	$500.00	$78.71
93320 Ultrasound of heart blood flow, valves and chambers	16	16	$200.00	$16.46
00400 Anesthesia for procedure on skin of arms, legs, or trunk	16	16	$498.47	$78.10
93312 Ultrasound of heart with probe in esophagus, with report	16	16	$600.00	$98.60
93319 3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects	16	16	$100.00	$21.86
93503 Insertion of tube in pulmonary artery for monitoring	15	15	$1000.00	$82.01
00560 Anesthesia for procedure on heart and large blood vessels	12	12	$1419.17	$216.86
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$499.32	$76.17
76937 Ultrasonic guidance for blood vessel access	11	11	$100.00	$13.00
00567 Anesthesia for heart artery bypass grafting on heart-lung machine	11	11	$5164.55	$791.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	80	74	$375.38	$60.26
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$500.00	$79.59
93503 Insertion of tube in pulmonary artery for monitoring	17	17	$1000.00	$83.55
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	17	17	$430.91	$67.95
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	15	15	$580.23	$88.78
64488 Injections of local anesthetic for pain control and abdominal wall analgesia on both sides	11	11	$300.00	$65.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	62	59	$391.47	$67.61
93503 Insertion of tube in pulmonary artery for monitoring	20	20	$1000.00	$87.01
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$145.00	$30.26
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	18	18	$1150.86	$173.47
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	18	18	$800.00	$61.75
00140 Anesthesia for procedure on eye	16	16	$563.88	$90.65
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	14	14	$551.11	$91.55
93320 Ultrasound of heart blood flow, valves and chambers	13	13	$200.00	$17.48
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	13	13	$100.00	$3.04
93312 Ultrasound of heart with probe in esophagus, with report	13	13	$600.00	$105.49
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	11	11	$644.68	$102.62
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	11	11	$514.68	$82.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	100	95	$403.53	$65.09
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$145.00	$29.70
00400 Anesthesia for procedure on skin of arms, legs, or trunk	12	12	$390.54	$63.48
00811 Anesthesia for procedure on large bowel using an endoscope	12	12	$466.92	$77.81
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	12	12	$515.13	$80.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	38	38	$145.00	$30.98
00142 Anesthesia for lens surgery	32	31	$395.48	$67.64
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	23	23	$800.00	$62.55
01996 Daily hospital management of continuous spinal drug administration	19	14	$300.00	$64.54
36620 Insertion of artery tube for blood sampling or infusion through skin	12	12	$300.00	$45.30
93312 Ultrasound of heart with probe in esophagus, with report	11	11	$600.00	$109.37
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$544.04	$88.00
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	11	11	$484.55	$81.96
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$500.00	$85.91
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	11	11	$700.00	$51.21
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	11	11	$100.00	$3.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	44	44	$145.00	$25.85
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	28	28	$700.00	$66.59
01402 Anesthesia for procedure for total knee joint replacement	22	22	$1048.86	$173.74
93312 Ultrasound of heart with probe in esophagus, with report	17	17	$600.00	$108.04
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	17	17	$100.00	$3.15
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	17	17	$800.00	$65.24
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	17	17	$506.24	$83.85
93503 Insertion of tube in pulmonary artery for monitoring	16	16	$1000.00	$88.87
00567 Anesthesia for heart artery bypass grafting on heart-lung machine	16	16	$4960.31	$821.58
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	14	14	$558.54	$92.51
01214 Anesthesia for total hip replacement	12	12	$1007.50	$166.88
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	11	11	$1360.27	$213.75
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	11	11	$528.27	$87.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	31	30	$145.00	$31.49
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	28	28	$453.14	$73.74
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	18	17	$700.00	$65.71
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	16	16	$620.25	$99.50
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	13	13	$800.00	$64.48
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	13	12	$530.50	$86.46
00811 Anesthesia for procedure on large bowel using an endoscope	11	11	$426.05	$69.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	28	$145.00	$31.32
00142 Anesthesia for lens surgery	24	24	$413.29	$66.11
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	24	24	$700.00	$65.05
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	22	22	$561.95	$90.90
00810 Anesthesia for procedure on lower intestine using an endoscope	17	17	$528.41	$85.48
00400 Anesthesia for procedure on skin of arms, legs, or trunk	14	14	$527.89	$85.39

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License KY 38335

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200282600 (IN)

Medicaid State Provider ID

0310694 (OH)

Medicaid State Provider ID

64074628 (KY)

Commercial Insurance / Payer ID Caqh

10902391

Commercial Insurance / Payer ID Anthem Blue Shield

000000311761

Commercial Insurance / Payer ID Tax Id

611077369

Commercial Insurance / Payer ID Aetna

7580059

Hospital & Practice Group Affiliations

Anesthesia Group Practice Inc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8593012000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Cara Hansen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003155060

Certified Registered Nurse Anesthetist

Stephanie Stegman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013533405

Certified Registered Nurse Anesthetist

Dr. Elle Kaiser , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013582071

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Dr. Nalini Tandon , MD

Anesthesiology

NPI 1023090636

Doctor of Medicine (M.D.)

John Wellbrock , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033195094

Certified Registered Nurse Anesthetist

Bernard Nacu , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033195367

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2013

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593417246)

📍

Updated Business Mailing Address October 31, 2013

Registered at 20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 410175401 (Tel: 8593417246)

👤

Provider Name / Credentials Updated October 31, 2013

Recorded as TIMOTHY DICKINSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2013

Anesthesiology (License #38335 in KY)

🟢

Initial NPI Registration & Enumeration November 22, 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: 1255314423

Entity Type:

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

Enumeration Date: November 22, 2005

Last Update: October 31, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

20 Medical Village Dr, Suite 258

Edgewood, KY 410175401

Phone: 8593417246

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.