Maxwell William Dixon, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301503702 Issued in MI

Practice address

5477 W Clark Rd
Ypsilanti, MI 48197-1102

Phone

(734) 434-6000

Fax

(734) 434-7005

NPI assigned

Jun 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, MI2 enrollments

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 2

Specialty

Ophthalmology

Education

University of Michigan Medical School, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Merit-based Incentive Payment System (MIPS)

Final score

75.03 of 100Reported as group

Quality

85.46

Promoting interoperability

100

Improvement activities

40

Cost

31.32

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mdixon1268185@direct.trinity-health.org

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

• Blue Sky Vision Eye Care, P.C

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1801977202
  Medicare reassignment Care Compare group NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1013957562
  Medicare reassignment NPD
• Blue Sky Vision Eye Care, PC

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1316675598
  NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1962442475
  NPD

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

• St Joseph Mercy Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1093165490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 W CLARK RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971102",
            "telephone_number": "734-434-6000",
            "fax_number": "734-434-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 W CLARK RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971102",
            "telephone_number": "734-434-6000",
            "fax_number": "734-434-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 S Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101007",
            "country_code": "US",
            "telephone_number": "314-362-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MAXWELL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2020016137",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301503702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdixon@huroneye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "5477 W Clark Rd",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481971102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Alexandria Dismukes
• Divergent Physical Therapy & Wellness, LLC
• Divine Care for You, LLC
• Brittany Dixon
• Joseph Donovan Dixon, MD
• Amy Marie Dobberstein
• Jennifer Ellen Doble, M.D.
• Anna Dobosz, MD
• Theron Leroy Dobson, M.D.
• Carter Docking, D.O.

• Ophthalmology Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.