Individual provider Active NPI

David Brian Dickerson, M.D.

  • Orthopaedic Surgery Physician
  • Toms River, NJ
National Provider Identifier
1033317219
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA07911500 Issued in NJ
Practice address
780 Route 37 W Ste 330
Toms River, NJ 08755-5064
Phone
(732) 691-4898
Fax
(732) 608-8950
NPI assigned
Jul 10, 2007
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA07911500 NJ Primary

Addresses

Primary practice location

780 Route 37 W Ste 330
Toms River, NJ 08755-5064

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

1131 Broad St Ste 104
Shrewsbury, NJ 07702-4334
Phone (732) 691-4898

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address david.dickerson.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address david.dickerson.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000072 NJ Practitioner - Orthopedic Surgery 0648345108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians
David DickersonGroup PAC ID 2163576729, 2 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Suite A2
Voorhees, NJ 08043-3512
Phone (856) 566-8600

1131 Broad St
Suite 104
Shrewsbury, NJ 07702-4334
Phone (732) 691-4898

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

780 Route 37 W
Suite 330
Toms River, NJ 08755-5064
Phone (732) 691-4898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.9 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Orthopaedic Surgery CurrentSince Jan 4, 2026 Accepting new patients
Performance Orthopaedics & Sports Medicine, LLC CurrentSince Jul 27, 2009 Accepting new patients
Premier Brain and Spine LLC Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 4, 2026 Accepting new patients
Premier Brain and Spine, LLC Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

1131 Broad St
Ste 104
Shrewsbury, NJ 07702
Phone (732) 691-4898

780 Route 37 W
Ste 330
Toms River, NJ 08755
Phone (732) 691-4898

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • Direct secure messaging: david.dickerson.1@21449.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1033317219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ROUTE 37 W STE 330",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555064",
            "telephone_number": "732-691-4898",
            "fax_number": "732-608-8950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Broad St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024334",
            "country_code": "US",
            "telephone_number": "732-691-4898",
            "fax_number": "732-608-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA07911500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.dickerson.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "780 Route 37 W Ste 330",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087555064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.dickerson.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "1131 Broad St Ste 104",
            "city": "Shrewsbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077024334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.