NPIMap

Dickson Diveley Midwest Orthopaedic Clinic LLC

A Medicare group practice based in Merriam, KS: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 1153225479), with 75 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1153225479The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
KS, MO
Enrollments
9
Group size
66 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 7 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20031119000939 MO Part B Supplier - Clinic/Group Practice 1669421509
O20050721001066 KS Part B Supplier - Clinic/Group Practice 1669421509
O20211025001808 MO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1942871371
O20210917001696 KS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1164093589
O20100930011226 KS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1609084540
O20100930020394 MO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1669421509
O20230524001819 KS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1598498271
O20240201001056 KS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1205600244
O20240405001920 KS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1730946302

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 26 clinicians in this group

Clinicians 75

Clinicians who reassign their Medicare benefits to this group (75) or whom Care Compare lists as members (66).

Sources for this page