NPI Details
DR. Larry J Dickinson, D.O. is a family medicine in Gallatin, MO with 50 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Larry J Dickinson, D.O. NPI is 1972583094. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1975
The provider's business location address is:
100 E JOHNSON ST
GALLATIN, MO
ZIP 64640-338
Phone: (660) 663-2800
Fax: (660) 663-3707
The NPI 1972583094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 26D0445217 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Urinalysis, manual test (HCPCS:81002)
- Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Injection into tendon or ligament (HCPCS:20550)
- Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Removal of impacted ear wax (HCPCS:69210)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 1/17/2006 and was last updated on 11/20/2009.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | R7052 | MISSOURI | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 240880708 | MEDICAID | MISSOURI | |
| 2 | E43707 | MEDICARE UPIN | MISSOURI | |
| 3 | 0003526 | MEDICARE ID-TYPE UNSPECIFIED | MISSOURI | |
