NPIMap

Individual provider Active NPI

Ralph W Dickson, M.D.

  • Family Medicine Physician
  • McSherrystown, PA
National Provider Identifier
1093719734
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044609L Issued in PA
Practice address
70 Academy St
MC Sherrystown, PA 17344-2116
Phone
(717) 637-4188
Fax
(717) 637-7803
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD044609L PA Primary

Addresses

Primary practice location

70 Academy St
MC Sherrystown, PA 17344-2116

Mailing address

70 Academy St
MC Sherrystown, PA 17344-2116
Phone (717) 637-4188

Other identifiers 2

IdentifierTypeStateIssuer
1596587MedicaidPA
582297OtherPAMEDICARE LEGACY PROVIDER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdickson85948@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000883 PA Practitioner - Family Practice 6901845114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

70 Academy St
McSherrystown, PA 17344-2116
Phone (717) 637-4188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD044609LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

70 Academy St
McSherrystown, PA 17344
Phone (717) 637-4188

Interoperability endpoints

  • Direct secure messaging: rdickson285730@upmc.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1093719734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ACADEMY ST",
            "city": "MC SHERRYSTOWN",
            "state": "PA",
            "postal_code": "173442116",
            "telephone_number": "717-637-4188",
            "fax_number": "717-637-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ACADEMY ST",
            "city": "MC SHERRYSTOWN",
            "state": "PA",
            "postal_code": "173442116",
            "telephone_number": "717-637-4188",
            "fax_number": "717-637-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "RALPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044609L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1596587",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY PROVIDER",
            "identifier": "582297",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdickson85948@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "70 Academy St",
            "city": "Mc Sherrystown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173442116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McSherrystown, PA

Sources for this page

Verify at the official NPI Registry.